Comparative Study on Laparoscopic vs Open Appendicectomy in the Treatment of Perforated Appendicitis

Abstract

Background: Acute appendicitis is one of the most common causes of surgical emergency and perforated appendicitis is associated with higher morbidity and longer hospital stays. In recent times considering the overall benefits of laparoscopic surgeries, it has been widely preferred in the treatment of complicated appendicitis.Aim: To compare the outcome of laparoscopic appendicectomy (LA) vs open appendicectomy (OA) in the treatment of perforated appendicitis.Materials and Methods: 62 patients presenting with perforated appendicitis and undergoing surgical intervention in the Department of General Surgery, Kozhikode. Patients were monitored immediate postoperative period for 4 weeks for the development of complications.Results: Out of 31 patients who underwent laparoscopic none of the patients developed wound infection with a mean duration of hospital stay of 3.5 days. In open appendicectomy 7 patients developed wound infection with a mean duration of hospital stay of 5.3 days.Conclusion: Laparoscopic procedure for perforated appendicitis is a safe and feasible procedure which can be performed with a low incidence of infectious complications, possibly offering patients faster recovery and better cosmetic benefits than the open procedure. It has a clinically significant advantage. The patient’s factor and the experience of the surgeon both are deciding factors in the decision-making for the treatment approach.