Demographical Evaluation of Laparoscopic versus open Appendectomy at Tertiary Care Teaching Hospital

Abstract

OBJECTIVE: To document the demographical evaluation of laparoscopic versus open appendectomy at tertiary care teaching hospital. PATIENTS AND METHODS: This is comparative study was carried out in Surgical Unit-II, Liaquat University Hospital Jamshoro, Sindh, Pakistan from 21st November 2012 to 3rd February 2016 after the approval from Ethical review committee. During period of the study sixty patients admitted through the outpatient department, as well as from casualty department of Liaquat University Hospital Jamshoro / Hyderabad were enrolled. Results were prepared with the help of tables and graphs. Data was analyzed through SPSS software. RESULTS: Out of 60 patients, 40 were males (66.66%) and 20 females (33.33%); with male to female ratio of 2:1. The mean age for both groups was 26.78 years, ranging from 10 to 70 years. Symptoms of patients in both groups were almost identical comprising of pain in right iliac fossa in 59 (98.33%), pain starting around umbilicus in 45 (75%), nausea in 50(83.33%), vomiting 35(58.33%), anorexia in 25 (41.66%), fever in 22(36.66%) and altered bowel habits in 20(33.33%). CONCLUSION: The laparoscopic appendectomy has significant advantages over open appendectomy with respect to length of hospital stay, discharge from hospital, and postoperative in-hospital complications & morbidity.

Keywords

• laparoscopy
• appendectomy
• postoperative complications.