Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Appendicitis is the most common intra‐abdominal condition requiring surgery, with a lifetime risk of 6%. The trend towards minimally invasive surgery has prompted general surgeons to adopt laparoscopic techniques for the treatment of nearly all surgical conditions treated by the conventional open technique. Present study was aimed to identify the factors that predicts the need for conversion from laparoscopic appendicectomy (LA) to open appendicectomy (OA). Present study was retrospective study, conducted in patients with acute or recurrent appendicitis and its complications undergoing laparoscopic appendicectomy. Each case was analyzed with respect to causes of intra‐operative abdominal findings requiring conversion to open procedure. Out of 200 patients, majority were from 16‐35 years age group (48%), were males (62%). Prevalence of Phlegmonous inflammation was found to be 38% followed by edematous inflammation in 32%. Retrocecal appendix was seen in 24% cases. Gangrenous inflammation of appendix was found in 20% cases. 16% appendix was found to be perforated. Prevalence of appendicular abscess was observed to be 22%. Cause of conversion from LA‐OA was found to be severity of peritonitis in 4 patients i.e. 57.1%. peritoneal adhesions (28.6%) and inflammation as well as adhesions i.e. 14.3%. Factors related to the decision to convert laparoscopic procedure to open surgery were severity of peritonitis, peritoneal adhesions, phlegmonous inflammation, edematous inflammation and retrocecal appendix.
How to cite this article:
Syed Shahid Irfan, Mohd Mujtaba Shahbaz and Ankita Biradar. Intraoperative Indications for Conversion of Laparoscopic Appendicectomy to Open Appendicectomy.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.509.513
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.509.513