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Comparative Studies | General Surgery | India | Volume 12 Issue 5, May 2023
A Comparative Study between Open and Laparascopic Appendicectomy in Perforated Appendicitis in Western Rajasthan
Pradeep Kumar Gupta [3] | Shaitan Singh Rathore | Mahendra Choudhary [2] | Deepak Kumar Kumawat
Abstract: Introduction: Laparoscopic appendectomy for non perforated appendicitis is associated with improved outcomes. This study compares laparoscopic appendectomy and open appendectomy in cases of perforated appendix based on evaluation of surgical site infection, mean operative time, and length of hospital stay. Material and methods: This study was a prospective randomized trial conducted at the Surgical Clinic of Dr. S. N. Medical College, Jodhpur from January 2022 to January 2023 by randomly allocating laparoscopic or open appendectomy to 130 patients by lottery method. Patients with a perforated appendix were included after providing informed consent. Data were entered and analyzed using IBM SPSS Statistics for Windows, version 20.0 (IBM Corp., Armonk, NY, USA). Results: The frequency of wound site infection was significantly higher in open appendectomy (27.69%) than in laparoscopic approach (10.77%; p=0.01). The average length of hospital stay was slightly longer for the laparoscopic approach (4.38 ? 1.09 days) than for the open appendectomy (4.18 ? 0.77 days; p=0.23). The mean operative time for laparoscopic appendectomy and open appendectomy was 46.98 ? 2.99 minutes and 53.02 ? 2.88 minutes, respectively (p<0.000). Conclusion: Laparoscopic appendectomy was associated with fewer surgical site infections and a shorter mean operative time than open appendectomy.
Keywords: Open Appendectomy, Laparoscopic Appendectomy, Perforated Appendix, Infection, Complication
Edition: Volume 12 Issue 5, May 2023,
Pages: 25223 - 2527