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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Comparative Analysis of Laparoscopic Versus Open Appendectomy in Cases of Complicated Appendicitis

Lomesh Ashokkumar Prajapati, Jimitkumar H. Patel, Bhaumik Bipinchandra Patel and Tejas Bipinchandra Patel
Page: 716-720 | Received 15 Jul 2023, Published online: 03 Aug 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.716.720

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Abstract

The utilization of laparoscopic appendectomy has demonstrated enhanced outcomes for cases of nonperforated appendicitis. This study endeavored to contrast the efficacy of laparoscopic appendectomy and open appendectomy in instances involving a perforated appendix based on parameters such as surgical site infection incidence, average operating duration and duration of hospitalization. Conducted within the Department of Surgery at a teaching Hospital in India, this study was designed as a prospective randomized investigation. The allocation of either laparoscopic or open appendectomy techniques to a cohort of 150 patients was executed through a random selection process, employing the lottery method. Patients harboring a perforated appendix were included in the study following their informed consent. The prevalence of wound site infections was notably elevated in cases of open appendectomy, as compared to instances of laparoscopic approach. While the mean duration of hospitalization was marginally prolonged in the laparoscopic cohort relative to open appendectomy, a statistically non-significant difference was observed. The mean operative time for laparoscopic appendectomy and open appendectomy was computed as 47.42±3.25 min and 51.73±2.99 min, respectively (p<0.05). Laparoscopic appendectomy was linked to a reduced incidence of surgical site infections, as well as a shorter mean operative duration. These results accentuate the potential advantages of laparoscopic techniques in managing perforated appendicitis.

How to cite this article:

Lomesh Ashokkumar Prajapati, Jimitkumar H. Patel, Bhaumik Bipinchandra Patel and Tejas Bipinchandra Patel. A Comparative Analysis of Laparoscopic Versus Open Appendectomy in Cases of Complicated Appendicitis.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.716.720
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.716.720