EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

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

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

SAFETY AND FEASIBILITY OF LAPAROSCOPY IN COMPLICATED APPENDICITIS IN CHILDREN: A TERTIARY CARE HOSPITAL EXPERIENCE FROM KASHMIR

Fayaz Ahmad Najar, Asim Rafiq Laharwal*, Iram Jaan, Syed Shakeeb Arsalaan and Zaffar Saleem Khanday

ABSTRACT

Introduction: Acute appendicitis is the most common surgical emergency in children in any tertiary health care facility. Laparoscopic appendectomy has gained widespread popularity over the past two decades. Laparoscopic appendectomy is an accepted treatment modality in uncomplicated paediatric appendicitis. However, in cases of complicated appendicitis the role of laparoscopic management is not well established. The goal of this study was to demonstrate the safety, efficacy, and potential benefits of laparoscopy in the management of complicated appendicitis in children. Material and Methods: A total of 40 patients were operated on for complicated acute appendicitis and were observed in this study in terms of operative time, hospital stay and post-operative morbidity and mortality. Results: Maximum number of patients belonged to the age group of 4 - 8 years (76%). There was a male preponderance with male: female ratio of 3:1. All the appendectomies were completed laparoscopically. The mean operative time was 58 minutes. Drain was kept in all patients and mean duration of drain removal was 2.5 days. Persistent fever was the main complication and was documented in 2 (5%) of patients, intra-operative bleeding in another 2 (5%) patients, followed by port-site infection and post-operative intra-abdominal abscess in 1 (2.5%) patient each. The mean post-operative length of hospital stay was 3.5 days. No mortality was observed. Conclusion: Laparoscopy is a safe and an effective alternative for appendectomy in children for gangrenous/perforated appendicitis; with a shorter length of hospital stay and acceptable rate of complications. However, close postoperative follow-up and a high index of suspicion for development of complications is recommended.

Keywords: Laparoscopy, Appendectomy, Perforation, Children.


[Full Text Article]

INDEXING

NEWS & UPDATION

  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 November 2020 Issue has been Published, Kindly check it on http://www.ejpmr.com/home/current_issues

  • EJPMR NOVEMBER ISSUE PUBLISHED

    NOVEMBER 2020 Issue has been successfully launched on 1 November 2020.

  • EJPMR New Impact Factor

    Its our Pleasure to Inform you that EJPMR Impact Factor has been increased from  5.804 to 6.222, due to high quality Publication at International Level

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.

    .

  • Article Invited for Publication

    Article are invited for publication in EJPMR Coming Issue

Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing