Sathish Prabhu, P (2016) A comparative study of laparoscopic appendectomy Versus open appendectomy in terms of postoperative pain, post operative complications, duration of the hospital stay, return to the work, cosmetic benefit, duration of time of the surgery in our institution. Masters thesis, Chengalpattu Medical College, Chengalpattu.
|
Text
220100616sathishprabhu.pdf Download (2MB) | Preview |
Abstract
BACKGROUND AND OBJECTIVES: Laparoscopic appendectomy has rapidly become established as the popular alternative to open appendectomy, it has a safety profile better than open procedure. OBJECTIVES: Laparoscopic procedure for appendectomy is compared with open surgical Technique with respect to: • Duration of procedure. • Post operative pain. • Cosmetic benefit • Complication encountered • Post operative length of hospital stay. • Return to the work METHODS: Prospective study from JULY 2014 to AUGUST 2015, involved 60 patients with Diagnosis of acute appendicitis was entered into a study randomizing the Choice of operation to either the open or the laparoscopic technique. Statistical Comparisons were performed using the chi-square test and students ‘t’ test. RESULTS: In the study, the mean post op pain score was recorded at the end of 24 hours for laparoscopic appendectomy is 1.37±0.49 and for open appendectomy is 3.27±0.828. The parameter difference is significant p<0.0001. In the study, 6 (20%) patients in laparoscopic group and 16 (53.3%) patients in open group had post op vomiting. The difference was significant (p<0.007). In the study, 8 (26.7%) patients in open group and 4 (13.3%) patients in laparoscopic group had post op fever In the study, 8 (26.7%) patients in open group and 1(3.3%) patients in laparoscopic group had post op wound infection. The difference was significant (p<0.01) In the study, The mean hospital stay score was 1.77 ±0.728 days in laparoscopic group and 7.73 ±1.363 days in open group.The difference was significant (p<0.0001) In the study, the mean score return to work was 9.6 days in laparoscopic and 17.67 days in open group. The difference was significant p<0.0001 In the laparoscopic group, 26 (86.7%) patients were satisfied with cosmetic benefit, 4 (13.3%) patients were equivocally satisfied, 0 patients were unsatisfied. In the open group, 15(50%) patients were satisfied, 8 (26.7%) were equivocally satisfied, 7 (23.3%) patients were unsatisfied with cosmetic benefit. The study show that laparoscopic group had better cosmetic results In the study, the mean score for duration of time of surgery was 36.17±12.25 minutes in laparoscopic group and 17.5 ±5.211 minutes in open group. CONCLUSION: Laparoscopic appendectomy was better than open appendectomy in a properly prepared and selected patient in terms of Post operative pain, Post operative complications like vomiting, wound infection, fever, Duration of the hospital stay, Return to the work, Cosmetic benefit. Overall, laparoscopic appendectomy is better than open appendectomy in the properly selected patients of acute appendicitis at the cost of increase in the duration of the time of surgery.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Acute appendicitis ; appendectomy ; Open procedure ; laparoscopy procedure. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 27 Sep 2017 02:56 |
| Last Modified: | 18 Oct 2017 05:24 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/3385 |
Actions (login required)
 |
View Item |
