Diagnostic laparoscopy, it is worthwhile remove appendix

Abstract

Introduction:The most common acute abdominal complication involving emergency surgical therapy appears to be appendicitis. Open appendectomy (OA) has been safe and effective surgical procedure for treating acute appendicitis since it invented by McBurney in 1894. Laparoscopy, also known as diagnostic laparoscopy, is a minimally invasive approach for diagnosis intra-abdominal diseases by close examination of intra-abdominal organs.The aim of the study was to evaluate the potential benefits and role of diagnostic laparoscopy in removal of appendix. Material and Method:Total 100 patients between age group 10-60 years who fulfilled the inclusion criteria were included in this study after taking informed written consent. The prospective study was conducted in the department of Surgery at Jubilee Mission Medical College and Research Institute Thrissur is the place of study. From 2009 March to 2010 April. Diagnostic laparoscopy was conducted using the open Hasson technique.In open appendectomies, the appendix was either opened by the appendix incision of Mcburney or Lanz, or sometimes by right paramedian incision.The data were computed in Excel. Frequencies/ descriptive, contingency coefficient and t test were employed. All the data analysed by SPSS vs 20.0.Result: Total 100 patient of 10-60 years age group were included among them 50 patients undergone diagnostic laparoscopic appendicectomy and 50 patients undergone open appendicectomy. The mean age of Diagnostic Laparoscopic appendicectomy was 24.6 years while open appendicectomy were 20.4 years. About 64% patients of the higher socio economic patient’s preferred laparoscopic appendicectomy while 46% patients underwent open appendicectomy. Although there was no significant difference in the need for extra analgesics, patients underwent laparoscopic appendicectomy had significantly less pain in the post-operative period, shorter hospital stay, moved bowels earlier and resumed daily work earlier than those underwent in the open appendicectomy.Conclusion:This study conclude that diagnostic laparoscopy is worthwhile to remove appendix as it a feasible and safe procedure. Diagnostic laparoscopy appendicectomy could be the standard approach for appendix removal. Postoperative recovery was good in Hospital stay, it was significantly shorter and return to normal activity.