Evaluation of Different Treatment Modalities of Acute Appendicitis

Authors

  • Mine Üna Assistant Professor, Department of Surgery, Antalya Education and Training Hospital,, Antalya, Turkey
  • Necmi Ata Assistant Professor, Department of Surgery, Antalya Education and Training Hospital,, Antalya, Turkey

DOI:

https://doi.org/10.48112/acmr.v2i1.13

Keywords:

Acute appendicitis, Laparoscopic appendectomy, wound infection

Abstract

Abstract Views: 31

Acute appendicitis (AA) is the leading cause of surgical acute abdomen worldwide, with a prevalence of approximately 7% of the population. The present study was conducted to compare different treatment modalities of acute appendicitis. 102 cases of acute appendicitis undergoing appendectomy were divided into 2 groups of 51 each. Group I patients were managed with laparoscopy appendectomy and Group II patients were managed with open appendectomy. Symptoms and parameter such as requirement of oral feed started postoperatively, average hospital stay, wound abscess and wound infection were recorded. Group I had 31 males and 20 females and group II had 35 males and 16 females. Symptoms were fever in 22 in group I and 14 in group II, abdominal pain 48 in group I and 44 in group II and nausea/vomiting 31 in group I and 30 in group II. The mean hospital stay was 5.2 days in group I and 4.3 days in group II, wound abscess was seen in 2 in group I and 5 in group II and wound infection 3 in group I and 7 in group II and oral feed started postoperatively at mean of 5.4 days in group I and 3.2 days in group II. The difference was significant (P< 0.05). There were less complications and better outcome in laparoscopic appendectomy as compared to open appendectomy.

References

Amarnath Gupta, & A P Singh, . 2020. Comparative Evaluation of Open and Laproscopic Method of Appendectomy in Acute Appendicitis. Academia Journal of Surgery 3(1):8–11.

Garg, Chaitanya P., Vaidya, Beena B. & Chengalath, Manoras M. . 2009. Efficacy of laparoscopy in complicated appendicitis. International Journal of Surgery 7(3):250–252.

Manjunath, Akshatha & Mookherjee, Aparajita . 2016. Laparoscopic versus open appendectomy: An analysis of the surgical outcomes and cost efficiency in a tertiary care medical college hospital. International Journal of Contemporary Medical Research 3(6):1696–1700.

Saverio, Di & S . 2014. Emergency laparoscopy: a new emerging discipline for treating abdominal emergencies attempting to minimize costs and invasiveness and maximize outcomes and patients’ comfort. J Trauma Acute Care Surg 77(1):338–50.

Hansen, J B, Smithers, M B, Schache, D, Wall, D R, Miller, B J & Menzies, B L . 1996. Laparoscopic versus open appendectomy: prospective randomized trial. World J Surg 20(5):17–21.

Klingler, Anton, Henle, Klaus P, Beller, Siegfried, Rechner, Jordan, Zerz, Andreas, Wetscher, Gerold J & Szinicz, Gerhard . 1998. Laparoscopic Appendectomy Does Not Change the Incidence of Postoperative Infectious Complications. The American Journal of Surgery 175(3):232–235.

Kurtz, Robert J & Heimann, Tomas M . 2001. Comparison of open and laparoscopic treatment of acute appendicitis. The American Journal of Surgery 182(3):211–214.

Chung, Raphael S, Rowland, Douglas Y, Li, Paul & Diaz, Jose . 1999. A meta-analysis of randomized controlled trials of laparoscopic versus conventional appendectomy. The American Journal of Surgery 177(3):250–256.

Hellberg, A., Rudberg, C., Kullman, E., Enochsson, L., Fenyö, G., Graffner, H., Hallerbäck, B., Johansson, B., Anderberg, B., Wenner, J., Ringqvist, I. & Sörensen, S. . 1999. Prospective randomized multicentre study of laparoscopic versus open appendicectomy. British Journal of Surgery 86(1):48–53.

Pareek, G . 2020. Assessment of cases of laparoscopic appendectomy- A clinical study. J Adv Med Dent Scie Res 8(2):27–30.

Sharma, M K & Badal, R K . 2019. A Comparative Study of Open and Laparoscopic Appendectomy. J Adv Med Dent Scie Res 7(9):62–64.

Bansal, P & Arshi, S J . 2019. A histopathological analysis of appendectomy specimens. J Adv Med Dent Scie Res 7(12):188–190.

Published

2021-03-31

How to Cite

Üna, M., & Ata, N. (2021). Evaluation of Different Treatment Modalities of Acute Appendicitis. Advances in Clinical Medical Research, 2(1), 19–21. https://doi.org/10.48112/acmr.v2i1.13