LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS | ||
| Ain Shams Medical Journal | ||
| Article 9, Volume 73, Issue 2, June 2022, Pages 339-351 PDF (513.41 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asmj.2022.252409 | ||
| Authors | ||
| Ahmed Alaa Eldin Abd El Raouf Khorshid1; Ismail Abdel Hakim Kotb2; Mohamed Abdel Moniem Marzouk2; Kamal Mamdouh Kamal Elsaid2 | ||
| 1Nozha International Hospital, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| 2General Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Laparoscopic appendicectomy (LA) is the preferred approach in uncomplicated appendicitis. However, in patients with complicated appendicitis (CA), the best approach is still unclear. Aim of the work: A prospective randomized study to compare the outcomes of LA and OA in management of CA regarding their efficacy, safety and postoperative complications. Patients and methods: 60 patients, admitted with a diagnosis of CA were divided into two groups, LA group and OA group, with 30 patients in each group. All patients were monitored for early and late post-operative complications with follow up in the out-patient clinics up to 12 month post-operative. Results: LA group had decreased incidence of postoperative surgical site infections (SSI) with comparable results regarding operative time, length of hospital stay, rates of hospital readmission and the need of re-operation. LA demonstrated considerable significant advantages over OA in CA regarding additional outcomes including decreased postoperative pain & increased cosmesis satisfaction. Conclusion: LA can be safely adopted in CA and can be performed safely with a low incidence of infectious complications. | ||
| Keywords | ||
| Complicated appendicitis; laparoscopic appendices-tomy; open appendicectomy; post-operative complications | ||
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