Original Articles
To Assess The post operative Symptoms Of Laparoscopic And Open Appendectomy In Patients Of Acute Appendicitis | |
Dr. Nippun Chhakarvarty, Dr. Ankush Kohli, Dr. Sandeep Goyal | |
Background: The acute onset inflammation of the appendix, called acute appendicitis and its subsequent sequelae has been responsible for hundreds of thousands of deaths in history. The present study was planned in order to assess the postop symptoms of laparoscopic and open appendectomy in patients of acute appendicitis. Material & Methods:The present study was conducted in the Department of Surgery of MAMC, Agroha over the course of 12 months, from February 2021 to March 2022. After the diagnosis of acute appendicitis was made, allocation of patients for laparoscopic and open appendectomy was done. Complications of both groups were noted. The collected data was analyzed with the statistical program Statistical Package for the Social Sciences (IBM SPSS, version 22). Results:It was seen that the postoperative pain as measured by the visual analogue scale(VAS) was significantly higher among the patients undergoing the open appendectomy as compared to those undergoing laparoscopic appendectomies (p-value 0.043). 32% of the study participants of the open appendectomy group and 28% of those of the laparoscopic group had postoperative incidence of vomiting. 24% of the study participants of the open appendectomy group had a postoperative wound infection as compared to 4% of the laparoscopic appendectomy group (p-value 0.002). It was seen that 12% of the study participants of the open appendectomy group had a postoperative paralytic ileus as compared to none of the laparoscopic appendectomy group (pvalue 0.037). It was found that the mean time to return of bowel sounds for patients undergoing open appendectomy was 20.2±2.1 hours, and that of the patients undergoing laparoscopic appendectomy was 6.3±2.2 hours (p-value 0.013). Conclusion:It is concluded that the laparoscopic appendectomy is a better alternative to open appendectomy in terms of post operative pain, wound infection, paralytic ileus, returnof bowel sounds. |
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