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Case Studies | Surgery | India | Volume 12 Issue 2, February 2023
Evaluation of Intraoperative Operative Parameters and Postoperative Complications in Laparoscopic Management of Complicated Appendicitis
Bina Vaidya [2] | Tejas Patel [3] | Vikramsinh Gohil
Abstract: Introduction: Appendicitis is the most common acute surgical condition of the abdomen. Approximately 7% of population will have appendicitis in their lifetime, with the peak incidence lying between the ages of 10 and 30 years. Laparoscopic appendectomy has been widely practiced for uncomplicated appendicitis. The goal of the study was to know the association of different combinations of intraoperative findings and rates of adverse events in patients of complicated appendicitis. The aim and objective of the study was to document the duration of the surgery and correlation of intraoperative finding with clinical presentation and post operative complication of patient. Method: The study was a retrospective Observational study. Data of 30 cases of patients who underwent laparoscopic appendicectomy for complicated appendicitis were evaluated for intraoperative findings and post operative complications, were collected from the medical record of civil hospital surat. Data analysis was done in SPSS Software version 26. Result: Among the study participants, in 22 patients adhesions was present, in 8 patients Empyema, among 3 cases Fecolith, in 13 patients perforation, in 20 patients presence of abscess and in 3 patients gangrene was present in intraoperative findings. Among the study patients two patient had develop post operative collection in right iliac fossa, Otherwise one patient was presented with features of intestinal obstruction due to paralytic ileus. All complications were managed conservatively and there was no mortality. One patient of post operative intraabdominal collection presented with RIF lump with fever & pain which managed conservatively with antibiotic subsequently this RIF collection was spontaneously ruptured & pus drained & patient recovered. Conclusion: Laparoscopic appendectomy for complicated appendicitis is feasible and safe.
Keywords: Complicated appendicitis, Laprascopic appendicectomy
Edition: Volume 12 Issue 2, February 2023,
Pages: 1498 - 1500