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ANALYSIS OF LAPROSCOPIC APPENDECTOMY-COMPARISON WITH OPEN APPENDECTOMY WITH RESPECT TO SURGICAL SITE INFECTION

Dr Maryam Rida Naqvi, Dr Muhammad Mujtaba Raheem, Dr Saad Maqsood

Introduction: Open appendectomy (OA), which was described first by McBurney in 1894, has been accepted as the gold standard of appendectomy for around 100 years. 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 THQ Hospital, Sadiqabad, Rahim Yar Khan during October 2018 to March 2019. This study includes 100 patients diagnosed as appendicitis and operated. Their mean age was 33.32 ± 20.80 years (range, 2 to 92 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. 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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