APENDECTOMY;

COMPARISON OF OUTCOME IN OPEN AND LAPAROSCOPIC APENDECTOMY

Abstract

Introduction: Appendicitis is one of the most common cause of an acute
abdomen in young adults. Open appendectomy (OA) has been the gold standard for the
treatment of acute appendicitis since its introduction by Charles McBurney in 1889.Laproscopic
appendectomy (LA) was first performed by Semn in 1983.After its introduction laparoscopic
appendectomy (LA) proved to be a feasible and safe procedure. Objective: To compare the
outcome of Open appendectomy and Laparoscopic appendectomy in terms of mean visual
analogue score of postoperative pain and mean operative duration in the treatment of acute
appendicitis. Study Design: Randomized clinical trial. Setting: Punjab Medical College and
affiliated Hospitals, Faisalabad. Duration: Study was carried out for one year from 01-01-2016
to 31-12-2016. Subjects and Method: A total of 70 patients with Appendicitis were included
in the study. All patients were diagnosed clinically and confirmed with Laboratory findings. 35
patients underwent open appendectomy and laparoscopic appendectomy was used in 35.
Outcome in terms of pain and operating time was compared in both groups. Results: Mean
age in group A was 27.74 years with a standard deviation of 12.040. Mean age of patients in
group B was 29.26 years with a standard deviation of 12.650. Post-Operative pain using Visual
Analog Scale was 7.34±2.014 in group A and 3±1.94 in group B. Operative duration in group
A was 42.33±4.25(minutes) and group B had a duration of 34.48±3.5(minutes). Conclusion:
Outcome of Laparoscopic appendectomy is better than open appendectomy in terms of pain
and operative duration in patients undergoing Appendectomy.