Comparison of open versus laparoscopic appendectomy in terms of post operative pain and operative duration.

  • Saddaqat Hayat Allied hospital Faisalabad.
  • Osman Riaz Allied hospital Faisalabad.
  • Muhammad Usman Allied Hospital Faisalabad.
  • Muhammad Faisal Bilal Lodhi Allied Hospital Faisalabad.
  • Asrar Ahmad Khan Allied Hospital Faisalabad.
Keywords: Appendicitis, Laparoscopic Appendectomy (LA), Open Appendectomy (OA)

Abstract

Objectives: To measure the results of open appendectomy and laparoscopic appendectomy regarding mean postoperative pain and mean operative duration in the treatment of acute appendicitis. Study Design: Randomized clinical trial. Setting: Surgical unit Allied hospital Faisalabad. Period: June 2016 to December 2016. Material and Methods: 70 patients with appendicitis were included in the study through non-probability consecutive sampling. Patients with history of long standing pain, intake of analgesics (>3 times per week for >3 months) before surgery and patients in whom laparoscopic surgery was contraindicated were excluded. Patients were randomized in group A and group B. Open appendectomy was done in group A and laparoscopic appendectomy was carried in group B. Outcomes in terms of post-operative pain at visual analogue scale and operating time in minutes was measured. Results: Mean age was 28.50 years with standard deviation of 12.283. There were 32 (45.71%) patients were male and 38 (54.29%) patients were females. Post-Operative pain was 7.34±2.014 in group A and 3±1.94 in group B with p-value=0.0001. Operative time in group A was 42.33±4.25 minutes and group B had time of 34.48±3.5 minutes with p-value=0.0001. Conclusion: Laparoscopic appendectomy is superior to open appendectomy considering pain after surgery and time of surgery in patients with appendicitis.

Author Biographies

Saddaqat Hayat, Allied hospital Faisalabad.

MBBS, FCPS, MRCS

Senior Registrar

Department of Surgical Unit 1

 

Osman Riaz, Allied hospital Faisalabad.

MBBS, FCPS

Senior Registrar

Department of Surgical Unit 1

 

Muhammad Usman, Allied Hospital Faisalabad.

MBBS, FCPS

Senior Registrar

Department of Surgical Unit 1

 

Muhammad Faisal Bilal Lodhi, Allied Hospital Faisalabad.

MBBS, FCPS

Professor

Department of Surgical Unit 1

 

Asrar Ahmad Khan, Allied Hospital Faisalabad.

MBBS, FCPS

Assistant Professor

Department of Surgical Unit 1

 

Published
2019-10-10