A Prospective Study of Laparoscopic Appendicectomy for the Treatment of Acute Appendicitis


Affiliations

  • Dr. Vasantrao Pawar Medical College Hospital & RC, Department of General Surgery, Nashik, 422003, India

Abstract

Aims and Objective: To study the efficacy, safety and clinical outcome of patients undergoing laparoscopic appendicectomy in the treatment of acutely inflamed appendix. Materials and Methods: Laparoscopic Appendicectomy is used as day to day procedure for acute appendicitis. Case study of 42 patients undergoing laparoscopic appendicectomy is studied in prospective data analysing duration of intraoperative time, complications during surgery, after surgery complications, time until resumption of orals, joining back to work, postoperative debility and length of hospital admission. Results: Total 42 patients underwent laparoscopic appendectomy 21 were male and 21 were female with the mean age of patient undergoing laparoscopic appendicectomy was 26.66 years. Pain in abdomen was most common symptom followed by nausea. All patients were discharged at around second day. Conclusion: Laparoscopic appendicectomy patients were admitted for lesser duration and their post operative pain was of less intensity. Patients of laparoscopic appendicectomy were started oral diet earlier.

Keywords

Acute Appendicitis, Laparoscopic Appendicectomy (LA)

Subject Discipline

General Surgery

Full Text:

References

McBurney C. The incision made in the abdominal wall in case of appendicitis with a description of a new method of operating. Ann Surg. 1894; 20:38. https://doi.org/10.1097/00000658-189407000-00004 PMid:17860070 PMCid:PMC1493708

Semm K. Endoscopic appendectomy. Endoscopy. 1983; 15:59– 64. https://doi.org/10.1055/s-2007-1021466 PMid:6221925

Chiarugi M, Buccianti P, Celona G, Mastino MCD, Goletti O, Cavina E. Laparoscopic compared with open appendicectomy for acute appendicitis: A Prospective study. Eur J Surg. 1996; 162:385–90. PMid:8781920

Hellberg A, Rudberg C , Kullman E, Enochsson L, Fenyo G, Graffner H et al. Prospective randomized multi centre study of laparoscopic versus open appendicectomy. Br J Surg. 1999; 86:48–53. https://doi.org/10.1046/j.13652168.1999.00971.x PMid:10027359

Reiertsen O, Larsen S, Trandsen E, Edwin B, Faerden AE, Rosseland AR. Randomized controlled trial with sequential design of laparoscopic versus conventional appendicectomy. Br J Surg. 1997; 84:482–7. https://doi.org/10.1002/bjs.1800840632

Martin JV, Memon AM. The Justification for Laparoscopic appendicectomy. Rev Esp Enferm Dig. 1999; 91:447–55.

Jackson SA, Laurence AS, Hill JC. Does post-laparoscopy pain relate to residual carbon dioxide? Anaesthesia. 1996; 51:485–7. https://doi.org/10.1111/j.1365-2044.1996.tb07798.x PMid:8694166

Kumar V, Robbins SL, Cotran RS. Robbins’ pathologic basis of disease (4th Ed). Philadelphia: Saunders; 1989. p. 902–3.

Ronan O’ Connel P. The vermiform appendix. Chapter 70. Bailey and Love’s- Short Practice of Surgery. 24th ed. London: Arnold; 2004. p. 1210–11.

Butler C. Surgical pathology of acute appendicitis. Hum Patho. 1981; 12:870. https://doi.org/10.1016/S00468177(81)80190-6

Murphy JB. Appendicitis with original report histories and analysis of one hundred and fifty one laparotomies for that disease under personal observation. JAMA. 1894; (22):302– 4. https://doi.org/10.1001/jama.1894.02420880018001e

Addiss DG, Shaffer N, Fowler BS. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990; 132:910. https://doi.org/10.1093/oxfordjournals.aje.a115734 PMid:2239906

Korner H, Sondenaa K, Soreide JA. Incidence of acute non perforated and perforated appendicitis: Age- specific and sex- specific analysis. World J Surg. 1997; 21:313. https:// doi.org/10.1007/s002689900235 PMid:9015177

Sauerland S, Lefering R, Holthausen U, Neugebauer EA. Laparoscopic vs conventional appendectomy: a metaanalysis of randomized controlled trials. Langenbecks Arch Surg. 1998; 383:289–95. https://doi.org/10.1007/s004230050135 PMid:9776459

Dayna KB, Al-bareeq R. Laparoscopic versus open appendectomy; retrospective comparison of 1000 cases. Bahrain Medical Bulletin. 2007; 29(3):1–5.


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