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27. Compare the Outcomes of Laparoscopic Appendectomy Versus Conventional Open Appendectomy

Barka Sajjad1, Shoaib Muhammad1, Tahirullah1 and Imran-ud-Din Khan2

ABSTRACT

Objective: To examine the outcomes of laparoscopic appendectomy and compare with conventional appendectomy.

Study design: Retrospective study

Place and Duration of Study: This study was conducted at the Department of Surgery, Muhammad Teaching Hospital Peshawar from October 2019 to May 2020.

Materials and Methods: One hundred and sixty patients of both genders with ages 15 to 50 years presented with acute appendicitis were enrolled. Patient’s detailed demographics were recorded after written consent. All the patients categorized in to two equal groups. Group 1 consist of 80 patients and received laparoscopic procedure, group 2 with 80 patients received open procedure. Outcomes such as time duration of surgery, hospital stay, need for analgesic, wound infection, return to routine activities and patients satisfaction were compare between both groups.

Results: No significant difference was observed regarding age, sex and BMI between both groups (p-value>0.05). Open appendectomy had significantly shorter operative time than laparoscopic appendectomy 32.51±8.45 minutes Vs 46.35±8.22 minutes (p-value <0.05). Laparoscopic appendectomy had significantly shorter hospital stay, less need for analgesic doses/day, less wound infection rate, and shorter time to return to routine activities as compared to open appendectomy with p-value <0.05. No significant difference was observed regarding patients satisfaction between both groups.

Conclusion: Laparoscopic appendectomy is safe and effective procedure for acute appendicitis as compared to open appendectomy

Key Words: Outcome, Laparoscopic appendectomy, Conventional open appendectomy

Citation of article: Sajjad B, Muhammad S, Tahirullah, Khan ID. Compare the Outcomes of Laparoscopic Appendectomy Versus Conventional Open Appendectomy. Med Forum 2020;31(8):114-117.