Janni Laxman1, Patnala Mohan Patro2, K.V. Janardana Rao3
BACKGROUND
We wanted to determine the various pre-operative and intra-operative factors
responsible for conversion to open technique of appendectomy and compare the
clinical outcomes of hospital-stay and operating time between open appendectomy
and laparoscopic appendectomy.
METHODS
Patients presented to General surgery Department of GITAM Institute of Medical
Sciences and Research with features suggestive of acute appendicitis from
September 2017 to November 2019 were included in this study. This is a
prospective study which included a total of 100 patients. These patients were
divided into two groups of 50 each. One group of patients with early presentation
with symptoms of less than 3 days of duration, another group with late
presentation of 3 or more days of onset of symptoms were included. In this study
we wanted to compare the clinical outcomes of hospital stay and operating time
between open appendectomy and laparoscopic appendectomy.
RESULTS
In this study, majority of patients belong to age group 20 - 44 years who had
delayed presentation to hospital, in contrast to patients who presented early
involved the age group of 21 – 30 years. In this study, pain abdomen was the
commonest symptom (100 %) with which patient presented. The other symptoms
were nausea/vomiting (72 %), fever (63 %). Seven patients presented with
diarrhea.
CONCLUSIONS
Our data suggest that laparoscopic appendectomy is associated with improved
clinical outcomes even in patients who had late presentation.
