OUTCOME OF OPEN VERSUS LAPROSCOPIC APPENDICECTOMY IN DEPARTMENT OF SURGERY, LADY READING HOSPITAL, PESHAWAR

Main Article Content

Waqar Alam Jan
Zia ur Rehman
Sajjad Muhammad Khan
Gohar Ali
Abdul Qayyum
Naeem Mumtaz

Abstract

Objective: To compare safety and benefits of laparoscopic versus open appendicectomy in a randomizedcontrol clinical trial.Methodology: Between January 2008 and October 2009 one hundred and twenty patients (86 male and 34female) with suspected acute appendicitis were assigned either to laparoscopic [n=60] or open [n=60]appendicectomy. Surgical technique was standardized for both laparoscopic and open procedure. Thepatients were analyzed in terms of the following aspects and findings; operation time, postoperative pain,intra and post operative complications, hospital stay and return to normal daily activities.Results: There was no mortality. Wound infection (8.3%) and intra-abdominal abscess (11.6%) formationrate was significantly higher in open group than in the laparoscopic group (1.6%) and (3.3%) respectively.Postoperative pain scores (assessed by a pain distress variable, indicated on visual linear scale 0 to 10and a pain activity scale, indicated on visual linear scale 0 to 10) was significantly lower in laparoscopicgroup. Hospital stay was significantly shorter in laparoscopic group (p<0.0353) and mean operation timewas similar in both groups. One patient (1.6%) was converted from laparoscopic to open appendicectomydue to diffuse pelvic adhesions.Conclusion: Though operation time was same but complications, pain and hospital stay was less in theLaparoscopic group.

Article Details

How to Cite
1.
Jan WA, Rehman Z ur, Khan SM, Ali G, Qayyum A, Mumtaz N. OUTCOME OF OPEN VERSUS LAPROSCOPIC APPENDICECTOMY IN DEPARTMENT OF SURGERY, LADY READING HOSPITAL, PESHAWAR. J Postgrad Med Inst [Internet]. 2011 Oct. 14 [cited 2024 Mar. 28];25(3). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1171
Section
Original Article

Most read articles by the same author(s)

<< < 1 2 3 4 5 > >> 

Similar Articles

You may also start an advanced similarity search for this article.