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LAPAROSCOPIC VERSUS OPEN APPENDECTOMY: A RETROSPECTIVE COMPARATIVE STUDY

Dr. Sultan alsaigh, Mawiah Alshebromi, Alhanouf Alammar , Dr. Abdulaziz altwejri

Abstract :

Appendectomy is a common surgical procedure carried out to handle acute appendicitis. Now-a-days open appendectomy (OA) and laparoscopic appendectomy (LA) are preferred surgical techniques to operate acute appendicitis. Till date, no much studies have been carried out in Saudi Arabia on comparative efficacies of the OA and LA. Therefore, this research compared these surgical procedures and also found the relationship between their complications. This retrospective study was carried out King Fahad Specialist Hospital (KSFH) in Buraidah, Saudi Arabia. The data of acute appendicitis patients were collected from 01/01/2015 and 01/01/2017. Baseline characteristics such as age, gender, surgery type, total time of surgery etc. were defined for this study. The data were analyzed using SPSS 18. The p value <0.05 was considered as significant. The result of this study showed less operational time and early reintroduction of oral diet in LA. The LA also reduced hospital stay. However, this study did not find any significant correlation between complications (intra-operative and post-operative) of OA or LA (p >0.05). This study concludes that LA has definitely advantage over OA regarding early discharge and recovery. However, the cost need to be considered for LA. Overall, this research will help KSFH to determine effective surgical technique to treat patients with acute appendicitis.

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