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EVALUATION OF LAPAROSCOPIC APPENDECTOMY VS. OPEN APPENDECTOMY

Muhammad Harris Siddique, Basit Ali, Rashid Mehmood

Aims and objectives: The basic aim of the study is to analyze laparoscopic appendectomy in comparison with open appendectomy with respect to surgical site infection. Material and methods: This study was conducted at Sheikh Zayed Hospital, Rahim Yar Khan during January 2019 to September 2019. This study include 100 patients diagnosed as appendicitis and operated. Their mean age was 33.32 ± 20.80 years. OA was performed through right lower quadrant transverse muscle-splitting incision. The thread ties were placed on the base of the appendix. Results: Of these 100 patients, 85 (63.4%) had acute appendicitis and 20 (20.1%) appendices were perforated. There were 80 patients in the LA group and 54 in the OA group; however, 9 patients had a conversion to an open procedure. The overall SSI rate was not different between the two groups (2.8% for the OA group vs. 4.6% for the LA group, respectively, P=0.204), but the superficial SSI rate was significantly lower in the LA group (3.2% vs. 0.6%, P = 0.016). Conclusion: It is concluded that advantages of diagnostic laparoscopy in patients with abdominal pain, combined with the benefits of laparoscopic appendectomy, suggest that all patients with suspected appendicitis should be considered for laparoscopic appendectomy provided appropriately trained personnel and adequate equipment are available.

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