Abstract Issue

Volume 11 Issue 4 (October-December) 2022

Original Articles

A hospital-based assessment of the efficacy of laparoscopic appendectomy as well as conversion rate of laparoscopic appendectomy to open appendectomy
Dr. Yatindra Kumar Dewangan, Dr. Smruti Mohanty, Dr. Laxmikanta Mohanty, Dr. Kshitij Gupta

Aim: The aim of the present study was to assess the efficacy of laparoscopic appendectomy, patients’ demographic profile as well as conversion rate of laparoscopic appendectomy to open appendectomy. Methods: A Hospital based retrospective study of patients who had undergone laparoscopic appendectomy at emergency theatre in the last on month was included for this study irrespective of age and sex. 50 patients had undergone laparoscopic surgery in the last one month. The files of the patients were collected from the medical record section of hospital and studied. Results: There were 60% males and majority of the patients belonged to 21-40 years (56%). Most of the patients (80%) were presented with complains of pain localized in lower abdomen associated commonly with vomiting. The duration of hospital stay was shorter as 3 days for most of the patients (40%) under study. Only 24% patients had post-operative complications, most common being pain at surgical site, followed by wound infections. Conversion rate from laparoscopic appendectomy to open appendectomy was only 10% with cause being uncontrolled bleeding, perforation of base of appendix and appendicular lump, without any known mortality and case of redo during period of this study. Conclusion: Laparoscopic appendectomy is associated with fewer post-operative complications, shorter hospital stays, less operative time. Laparoscopic appendectomy is safe and feasible without risk of mortality.

 
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