Study of Laparoscopic Appendicectomy in Complicated Appendicitis
Journal Title: ​International Journal of Contemporary Medicine surgery and Radiology - Year 2017, Vol 2, Issue 4
Abstract
Introduction: Appendectomy is the most common surgical procedure performed in emergency surgery. Laparoscopic appendectomy (LA) for acute appendicitis has several advantages over open appendectomy (OA). The aim of the present work was to study of Laparoscopic Appendicectomy in complicated appendicitis in a teaching hospital. Material and methods: The study was conducted at Government General Hospital attached to attached to Siddhartha Medical college, Vijayawada, from September 2015 to August 2017. 25 patients who undergo appendectomy were included in this study. The variables analyzed included patient’s data (age, gender, previous abdominal surgery, preoperative WBC count, and duration of symptoms), rate of uncomplicated or complicated appendicitis, operative time, postoperative complications, and length of hospital stay. Results: Out of 25 patients, 14 were males and 11 were females. Most of the patients (12) were between the 20-30 yrs age group. All patients had abdominal pain, vomiting and fever. Past history of episodes of pain was in 8 patients. All patients had tenderness in right iliac fossa and abnormal ultrasonic pathology. Intraoperative findings observed were perforation in 18 patients, gangrene in 6 patients, mass with perforation in 7 patients and only mass in 1patient. Conclusion:On analyzing the data, we found satisfactory outcome with laparoscopic procedure in complicated appendicitis. Laparoscopic appendectomy has higher rates of success in complicated appendicitis like in early mass, perforated, gangrenous appendicitis and with dense adhesions.
Authors and Affiliations
Abdul Sattar, Purushotham G. , V. Jeevan Kumar
Keywords
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