Comparison of Outcomes After Laparoscopic Versus Open Appendectomy in Acute Appendicitis
Comparison of Outcomes After Laparoscopic Versus Open Appendectomy in Acute Appendicitis
A comparison study was performed between laparoscopic appendectomy and open appendectomy in
 acute setting in tertiary hospital to access the outcome of postoperative pain and hospital
 stay. As the popularity of laparoscopic appendectomy has failed in major tertiary hospital
 due to huge amount of patient load in which open appendectomy was performed.This study was
 performed to prove that outcome of laparoscopic appendectomy are far better than open
 appendectomy and to increase the use of laparoscopic surgery in acute settings
Introduction:

 Open appendicectomy has been a safe and usually opted mode of operation for acute
 appendicitis for more than a century, but since last 10 years laparoscopic appendicectomy is
 gaining popularity, although still not as popular as laparoscopic cholecystectomy. Comparison
 of these two is studied in terms of pain outcome as patient perceives and length of hospital
 stay.

 OBJECTIVES:

 The objective of this study was to compare the outcome of open appendectomy and laparoscopic
 appendectomy in patients with acute appendicitis.

 STUDY DESIGN: Randomized control trial

 SETTING:

 Surgical Unit I, Services Hospital, Lahore

 DURATION OF STUDY:

 Duration of my study was six months after the approval of synopsis i.e 21-02-2015 to
 20-08-2015.

 SAMPLE SIZE:

 Was calculated using WHO method of calculating sample size.

 SAMPLING TECHNIQUE:

 Non probability consecutive sampling.

 DATA COLLECTION PROCEDURE:

 All patients fulfilled the inclusion criteria was admitted through the emergency after taking
 approval from hospital Ethical committee. A detailed history had been taken including
 demographic data (age, address). Patients was requested to sign an informed consent. They had
 been assured regarding confidentiality and expertise used for the procedure. All procedures
 was done by a single operating surgical team to control bias. All the data/variables was
 recorded on a specially designed Performa attached which are post-op pain at 12hrs and 24
 hrs, post-Op stay and patient satisfaction score.
Inclusion Criteria:

 -  with acute appendicitis confirmed clinically by pain in right iliac fossa accompanied
 by right iliac fossa tenderness, elevated leukocyte count (>8*109/ml) without a
 palpable mass and on radiological investigation admitted through emergency department
 were included in the study.

 Exclusion Criteria:

 -  • Perforated appendix (had been assesses on abdominal ultrasound or per-operatively.

 -  Palpable mass in the right lower quadrant as assessed by clinical exam.

 -  History of Co-morbidities e.g. known diabetic, known hypertensive, cirrhosis as
 shown by ultrasonography and coagulation disorder (to be determined by low
 platelet count; <140 *109, deranged PT and APTT).(PT=13sec, APTT= 33 sec)

 -  Patients unfit for surgery (ASA Grade III/IV).

 -  Patient who did not give informed consent.