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A comparative study between laparoscopic appendicectomy versus open appendicectomy- a randomized controlled prospective study

Author: 
Naveen Gupta and Shilpi Gupta
Subject Area: 
Health Sciences
Abstract: 

Background: Acute appendicitis is the most recurrent cause of persisting progressive abdominal pain in all ages. However, there is no way to prevent the development of appendicitis, the only way to reduce the morbidity and to prevent the development of appendicitis, is to perform appendicectomy before perforation or gangrene has occurred. Objective-To evaluate and compare the advantages anddisadvantages between laparoscopic appendicectomy andopen appendicectomy in general surgical practice. Methods-A prospective randomized controlled comparative study was conducted in the Department of Surgery in Multi- speciality hospitals in Gwalior, Madhya Pradesh from August 2017 to July 2018 a period of One years. Thetotal population group included 100 patients with a mean age of 39 years (Age group between 18-60 years). Epi-info 7 was used for analysis. Results: Patientsbetween 18 years and 60 years of age were candidates for randomization. The study was carried out as an openrandomized single centre study.In the present study patients were not blinded to the surgical technique employed but were equally informedto resume normal activity and work as soon as possible at their discretion. The results show that time to return toheavy work was significantly reduced by the laparoscopic approach. Less pain in the post-operative period was themajor contributing factor. In the present study, laparoscopic appendicectomy was associated with improved cosmesiswhen compared with open appendicectomy (P <0.01). Conclusions: Laparoscopic appendicectomy is a safe procedure with lower morbidity it is also an excellent trainingtool in laparoscopic technique and with enough experience takes no longer than open appendicectomy.

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