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Laparoscopic versus open appendectomy Randomized study in king Hussien Medical Centre Amman/Jordan.
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Haitham Suleiman Al-Rbiehat *   , Abdulhamid M.Al-Abbadi , Sahel Haddadin , Raed Aljarrah |
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Abstract: (8322 Views) |
| Abstract
Laparoscopic appendectomy is a new procedure as compared to laparoscopic cholecystectomy. Laparoscopic
cholecystectomy is now considerd a standard method of performing cholecystectomy and has replaced the old
method generally throughout the world, while appendectomy could not achieve the similar popularity. In this paper
a randomized study was done to compare between both laparoscopic and open appendectomy.
PATIENTS AND METHOD In order to compare the two techniques, patients undergoing laparoscopic
appendectomy were compared to patients undergoing open appendectomy over a period of 36 months. Those
patients who had perforated appendicitis were excluded.
Patients undergoing laparoscopic appendectomy (N=126) had an average age of 25.7±1.5 (range 16-59). These
patients were compared to 159 patients undergoing open.
RESULTS Variables evaluated were operating room time, days until patient tolerated a regular diet, days of
hospitalization, postoperative pain and wound infection rate.
Mean operative time was 55minutes for lap. Appendectomy (LA) and 25 minutes for open appendectomy (OA).
One day hospitalization in LA and two days in OA.
Postoperative pain continued for 12 hours in LA while in OA for 36 hours.
Rate of wound infection was 9 out of 159 in OA while none in LA.
CONCLUSION We have to analyze very critically that do we need a procedure which gives us a small scar which
is more cosmetic and acceptable with minimum, hospital stay & off work BUT serious postoperative complications
or should we stick to the previous gold standard and well established method of open appendectomy with lesser
chances of intra-abdominal abscesses / perforation of bowel.
We believe it would be very early and immature to say that laparoscopic is superior or can replace open
appendectomy. |
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Full-Text [PDF 256 kb]
(2515 Downloads)
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Type of Study: Research |
Subject:
General
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