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  3. 4. Comparison of Periumbilical versus Intraumbilical Incision in Laparoscopic Appendectomy
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4. Comparison of Periumbilical versus Intraumbilical Incision in Laparoscopic Appendectomy

Muhammad Amjad Khan1, Humara Gul2 and Shahid Mansoor Nizami3

ABSTRACT

Objective: To compare the rate of wound complication of perforated appendicitis in intraumbilical versus periumbilical incision for laparoscopic appendectomy.

Study Design: Randomized Control Trail study.

Place and Duration of Study: This study was conducted at the General Surgery Department Bakhtawar Amin Hospital Multan, and Nishtar Hospital, Multan from 20 February 2018 to January 2019.

Materials and Methods: This randomized control has been performed upon 200 patients. They have been further categorized into intraumbilical (IU) and periumbilical (PU) group. Then the perioperative and post-operative outcomes of each group was determined and compared.

Results: The mean operative time, post-operative hospital stay, morphine equivalent, and visual analogous scale of IU group was 75.93±2.87 minutes, 8.09±3.06 days, 4.75±1.37 mg and 4.94±1.38 respectively. Wound infection, incisional hernia and internal organ injury was observed in n=9 (9.0%), n=3 (3.0%) and n=5 (5.0%) respectively. While, the mean operative time, post-operative hospital stay, morphine equivalent, and visual analogous scale of PU group was 81.20±1.92 minutes, 6.54±3.11 days, 4.09±1.45 mg and 4.59±1.80 respectively. Wound infection, incisional hernia and internal organ injury was observed in n=5 (5.0%), n=6 (6.0%) and n=10 (10.0%) respectively.

Conclusion: There is no difference in the rate of wound complication of intraumbilical or periumbilical incision. Nevertheless, the intraumbilical incision appears to be safer and expedient substitute for periumbilical incision which can be performed with more ease and yields better cosmetic results.

Key Words: Intraumbilical, Periumbilical, Laparoscopic Appendectomy, Wound Infection, Appendicitis.

Citation of articles: Khan MA, Gul H, Nizami SM. Comparison of Periumbilical versus Intraumbilical Incision in Laparoscopic Appendectomy. Med Forum 2019;30(5):16-19.