EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

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Abstract

A COMPARATIVE STUDY OF LAPAROSCOPIC APPENDICECTOMY VERSUS OPEN APPENDICECTOMY

Pramod D. Nichat, Sanjitkumar M. Sant, *Dr. Kavita V. Jadhav, Rukmini Waghmare

ABSTRACT

Appendicitis is one of the best known medical entities often requiring removal of the inflammed appendix. It is sometimes confusing and often a treacherous cause of acute abdomen at all ages, which requires utmost skill and care of the attending surgeon besides good clinical evaluation.[1] Aims and objectives: To compare the effectiveness of laparoscopic and conventional open appendicectomy in the treatment of acute appendicitisover duration of procedure, post operative pain, complications, wound infection, return to bowel activity, subjective full recovery and return to normal activity, post operative length of hospital stay, cost analysis, cosmetic benefit. Material & methods: Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative type Present study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative typePresent study is prospective observational comparative type of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at of study. It was conducted at tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis tertiary hospital of Mumbai. Total 100 patients were included with clinical features suggestive acute appendicitis with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat with alvarado score >7. They were divided in two groups as to be operated laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operatwith alvarado score >7. They were divided in two groups as to be operated with laparoscopy and operat ed ed with open approach. Pwith open approach. P with open approach. Pwith open approach. Pwith open approach. Pwith open approach. Pwith open approach. P with open approach. Pwith open approach. P with open approach. Pwith open approach. Pwith open approach. Pwith open approach. P with open approach. Pwith open approach. Pwith open approach. Pwith open approach. Patients with <12 years of age, patients with appendicular mass or lump or abscess or with pregnancy were excluded from study. Results ResultsResults: Laparoscopic appendicectomy was found to be better than open appendicectomy with respect to lesser postoperative pain, lesser duration of postoperative hospital stay, lesser rate of wound infection and post operative complications, earlier return to normal day to day activities and better cosmesis. However, these advantages outweighs drawbacks of more operating time and cost for laparoscopic appendicectomy. Conclusion: The change in the surgical approach from open to laparoscopic appendicectomy in management cases of uncomplicated appendicitis is safe and effective even in emergency.

Keywords: Laparoscopic Appendicectomy, Open Appendicectomy.


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