Vigneswaran, S (2020) A Study on Laparoscopic Versus Open Appendicectomy: A Comparative study. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
INTRODUCTION: Acute appendicitis is one of the common emergency surgical problems that usually we encounters. Since its introduction by McBurney in 1894, appendicectomy has been the treatment of choice for acute appendicitis. Since its initial description by Semm, Laparoscopic appendicectomy has struggled to prove its superiority over the open technique. The advantages of Laparoscopic Appendicectomy over open appendicectomy are thought to be less postoperative pain, shorter hospital stay and early return to usual activity. While the incidence of postoperative wound infection is thought to be lower after the laparoscopic technique. AIM AND OBJECTIVES: Laparoscopic procedure for appendicectomy is compared with open surgical technique with respect to • Duration of surgery in minutes. • Post operative pain. • Post operative Complications. • Post operative length of hospital stay. • Resumption of diet. MATERIALS & METHODS: This is a prospective and comparative study from Sep 2018 to Oct 2019 involved 99 cases, 49 open and 50 lap appendicectomy, which were randomly selected and were operated in department of surgery, Thanjavur medical college. RESULTS: In this study in total of 99 cases out of which 51% cases managed with laparoscopic appendicectomy and 49% patients managed with open appendicectomy. In this study open appendicectomy group of patients had vomiting (57%) and fever (75%) which is higher compared to laparoscopic appendicectomy group. In this study laparoscopic appendicectomy patients resumption of diet was earlier than open appendicectomy, all most all patients underwent laparoscopic appendicectomy diet was started on post operative day -1. In this study post operative pain was seen in 90% patients in open appendiectomy group where as in laparoscopic appendicectomy group post operative pain was seen in 26 % of patients.This result shows better post operative outcome amongst laparoscopic appendicectomy. This study shows that laparoscopic appendicectomy group had nil post operative wound infection as compared to open appendicectomy group. In this study the mean duration of laparoscopic appendicectomy procedure is higher compared to open appendicectomy procedure .The postoperative resumption of diet is much earlier in laparoscopic appendicectomy when compared to open appendicectomy procedure. In this study the duration of hospital stay is much less in laparoscopic appendicectomy when compared to open appendicectomy procedure. CONCLUSIONS: Overall laparoscopic appendicectomy is better than open appendectomy in selected patients with acute or recurrent appendicitis.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711212 |
| Uncontrolled Keywords: | Acute appendicitis, Appendicectomy, laparoscopic appendicectomy, open appendicectomy. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 16:49 |
| Last Modified: | 10 Feb 2021 16:49 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14000 |
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