International Journal of Medical Investigation
Int J Med Invest
Medical Sciences
http://intjmi.com
1
admin
2322-2913
2345-640x
no
no
14
8888
13
en
jalali
1392
12
1
gregorian
2014
3
1
3
4
online
1
fulltext
en
Laparoscopic versus open appendectomy Randomized study in king Hussien Medical Centre Amman/Jordan.
عمومى
General
پژوهشي
Research
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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http://intjmi.com/browse.php?a_code=A-10-1-65&slc_lang=en&sid=1
Haitham Suleiman
Al-Rbiehat
1003194753284600901
1003194753284600901
Yes
Abdulhamid
M.Al-Abbadi
1003194753284600902
1003194753284600902
No
Sahel
Haddadin
1003194753284600903
1003194753284600903
No
Raed
Aljarrah
1003194753284600904
1003194753284600904
No