A RETRO-PROSPECTIVE EVALUATION OF OPEN VERSUS LAPAROSCOPIC APPENDICECTOMY: A SINGLE CENTER STUDY

Dr. Md. Mobassar Hussain Mullick, Dr. Md. Arifur Rahman, Dr. Ashekur Rahman Mullick*, Dr. Ayesha Haidar, Dr. Anika Ibnat Mullick and Dr. Arifa Akter Jahan

ABSTRACT

The most frequent surgical procedure carried out during emergency surgery is an appendectomy. Both open (OA) and laparoscopic (LA) procedures are still used to perform appendectomy due to a lack of agreement regarding the best procedure. A retrospective observational study was undertaken on patients who were diagnosed with appendicitis and admitted to a single facility (Department of Pediatric Surgery, Dr M R Khan Shishu Hospital & Institute of Child Health, Dhaka, Bangladesh) between January 2005 and December 2013. Clinical information and hospital expenses for 65 patients who met the inclusion criteria was included for this study. The patients were split into two groups: laparoscopic appendectomy (LA) and open appendectomy (OA). Due to the observational nature of the study, informed consent from patients has been waived. Throughout the course of the trial, 65 patients had appendicectomies. Depending on the operating surgeon's discretion, 24 of these surgeries were done by open surgery and 41 were done laparoscopically. In both groups, the male and female ratio and average age were comparable. Laparoscopic surgery appears to have a variety of benefits over open appendectomy. Shorter hospital stays and speedier return to normal activities were made possible by less painful laparoscopic procedures. The main disadvantage of the laparoscopic method was a little longer operating time for both surgeries.

Keywords: Open Appendicectomy, Laparoscopic Appendicectomy, Retro-prospective Evaluation.