PER-OPERATIVE FINDINGS AND POST-OPERATIVE COMPLICATIONS WITH LAPAROSCOPIC APPENDICECTOMY

Abstract

Objective: To study the per-operative findings and post-operative complications that arise with
laparoscopic appendicectomy.
Material and Methods: This descriptive study was conducted in Surgical "A" and Surgical "C" Unit of
PGMI, Lady Reading Hospital from April 2006 to December 2008. Patients with acute appendicitis, short
history, age ranges from 15 to 50 years and recurrent appendicitis were included in this study, while
patients with appendicular mass, appendicular abscess, pregnancy and with previous abdominal surgery
were excluded. All the data was collected by using a proforma. Data was analyzed by descriptive statistics.
Results: Out of 60 patients admitted for Laparoscopic Appendicectomy (LA), 36(60%) were males and
24(40%) were females. Only 6(10%) patients required conversion from laparoscopic to open surgery.
Problems and per-operative complications were encountered in 9(15%) patients. These were dense
adhesions due to inflammation 4(6.66%), localized perforation 2(3.33%), diffuse peritonitis 2(3.33%) and
bleeding during procedure 1(1.66%). Postoperative complications were seen in 5(8.33%) cases, out of
which 2(3.33%) patients developed port site infection, 1(1.66%) patient developed postoperative ileus,
1(1.66%) patient developed partial bowel obstruction and 1(1.66%) patient presented with right iliac fossa
abscess. There was no mortality. All patients resumed normal activity within 6-7 days of operation and
were well satisfied up to median follow-up of 5-6 months.
Conclusion: Majority of the patients were males. Per-operative findings were adhesions, perforation and
peritonitis. Post-operative complications were port-site infection, ileus and bowel obstruction. Majority
recovered within a week time.