23. Postoperative Mean Pain Score of Closure Versus Non Closure of Peritoneum in Children after Open Appendicectomy
Muhammad Muddasar, Zaid Ashraf and Umair Safdar
ABSTRACT
Objective: To compare postoperative mean pain score of closure versus non closure of peritoneum in children after open appendicectomy.
Study Design: Randomized controlled trial study
Place and Duration of Study: This study was conducted at the Department of Surgery, District Headquarters Teaching Hospital, Sahiwal from December 2015 to March 2017.
Materials and Methods: Patients were divided into two groups by lottery method. Group A: Non closure of peritoneum. Group B: Closure of peritoneum. During surgery, all the steps in both groups were same except non closure of peritoneum in Group A. Postoperatively patients were assessed for pain score using visual Analogue scale score at day 0, day 1 and day 2 X 4 hourly.
Results: Of these 100 study cases, 55 (55%) were boys while 45 (45%) were girls. Mean age of our study cases was noted to be 9.38 ± 1.91 years (with minimum age was 6 years while maximum age was 12 years). Mean weight of our study cases was noted to be 21.94 ± 3.32 kg (with minimum weight of our study cases was 17 kg while maximum weight was 28 kg). Obesity was present in 12 (12%) of our study cases. Pain control was noted in 85 (85%) of our study cases. Pain control was 78 % in group A while it was seen in 92 % in group B (p=0.028). Mean visual analogue score (VAS) in our study was 27.11 ± 8.50 mm, in group A mean VAS was 34.36 ± 4.61 mm and 19.86 ± 4.18 mm in group B.
Conclusion: Our study results support use of non-closure of peritoneum as it provides good pain relief in children with acute appendicitis after open appendicectomy. Visual analogue score was significantly less in patients with non-closure of peritoneum compared with closure of peritoneum. Non – closure of peritoneum was associated with less use of analgesic drugs and shorter hospital stays compared with closure of peritoneum. Key Words: Acute appendicitis, visual analogue score, closure of peritoneum.
Citation of articles: Muddasar M, Ashraf Z, Safdar U. Postoperative Mean Pain Score of Closure Versus Non Closure of Peritoneum in Children after Open Appendicectomy. Med Forum 2017;28(10):93-96.