Publication:

Outcomes of laparoscopic versus open appendectomy: a comparative study

Background The advantages of laparoscopic appendicectomy over open appendicectomy were questioned because the recovery period with open appendicectomy was brief. In this study, the two techniques were compared with respect to post-operative pain and duration of us of an analgesic, complications such as vomiting, ileus, intra-abdominal abscess, wound infection, length of post-operative stay, and return to routine work.

Methods 50 patients who met the inclusion criteria were included in the study was subjected to either of the two procedures after randomisation and statistical analysis was done.

Results The patients who underwent laparoscopic appendicectomy had less post-operative pain with lesser analgesic use, less post- operative complications such as vomiting, ileus, wound infection, shorter hospital stay and early return to routine work.

Conclusions Laparoscopic appendicectomy is a better procedure in selected patients with acute or recurrent appendicitis.