Title: Comparative Study between Mini Incision Open Appendectomy and Laparoscopic Appendectomy in Terms of Post Operative Pain Length of Hospital Stay and Return to Normal Life

Authors: Dr R.Sharanya, Dr V. Shruthi Kamal, Dr G. Parameswari

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i9.147

Abstract

To compare mini incision open appendectomy and laparoscopic appendectomy in terms of post operative pain length of hospital stay and return to normal life. 100 patients with appendicitis were randomized into mini incision appendectomy and laparoscopic appendectomy. As most of the patients in rural patients prefer early return to work and also have high tolerance to pain, this study emphasis the need for identifying the better procedure.

Although mini incision appendectomy also has small incision and similar hospital stay, laparoscopic surgery has emerged as the superior procedure in this population whose paramount interest is early return to work.

Keywords: acute appendicitis, mini incision appendectomy, laparoscopic appendectomy, early return to work, post operative pain

References

  1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV: The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990, 132: 910-925. (PMID: 2239906)
  2. McBurney C: The incision made in the abdominal wall in cases of appendicitis, with a description of a new method of operating. Ann Surg. 1894, 20: 38-43. 10.1097/00000658-189407000-00004. (PMID: 17860070)
  3. Semm K: Endoscopic appendectomy. Endoscopy. 1983, 15: 59-64. 10.1055/s-2007-1021466. (PMID: 6221925)
  4. Sauerland S., Lefering R., Neugebauer E. A. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database of Systematic Reviews. 2004;(4)CD001546
  5. Chung RS, Rowland DY, Li P, et al. A meta-analysis of randomized controlled trials of laparoscopic versus conventional appendec-tomy. Am J Surg. 1999;177:250–256. [PubMed]
  6. Mutter D, Vix M, Bui A, et al. Laparoscopy not recommended for routine appendectomy in men: results of a prospective randomized study. Surgery. 1996;120:71–74. [PubMed]
  7. Ignacio RC, Burke R, Spencer D, et al. Laparoscopic versus open appendectomy: what is the real difference? results of a prospective randomized double-blinded trial. SurgEndosc. 2004;18:334–337. [PubMed]
  8. Katkhouda N, Friedlander MH, Grant SW, et al. Intraabdominal abscess rate after laparoscopic appendectomy. Am J Surg. 2000;180:456–459. [PubMed]
  9. Fatih Çiftçi Laparoscopic vs mini-incision open appendectomy World J Gastrointest    2015 Oct 27; 7(10): 267–272
  10. Garbutt JM1, Soper NJ, Shannon WD, Botero A, Littenberg BMeta-analysis Of randomized controlled trials comparing laparoscopic and open appendectomy. SurgLaparoscEndosc. 1999 Jan;9(1):17-26.
  11. Biondini A Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness World J Emerg Surg. 2016; 11(1): 44.2016 Aug 30. doi: 1186/s13017-016-0102-5
  12. Hellberg A, Rudberg C, Kullman E, et al. Prospective randomized multicentre study of laparoscopic versus open appendicectomy. Br J Surg. 1999;86:48 53.  [PubMed]
  13. Kazemier G, De Zeeuw GR, Lange JF, et al. Laparoscopic vs. open appendectomy: a randomized clinical trial. SurgEndosc. 1997;11:336–340. [PubMed]
  14. Klingler A, Henle KP, Beller S, et al. Laparoscopic appendectomy does not change the incidence of postoperative infectious complications. Am J Surg. 1998;175:232–235.
  15. Çiftçi F Laparoscopic vs mini-incision open appendectomy. World J Gastrointest Surg. 2015 Oct 27;7(10):267-72. doi: 10.4240/wjgs.v7.i10.267.
  16. İsmail Özsan,Türker Karabuğa, Ömer Yoldaş,  Özcan Alpdoğan, and Ünal Aydın Laparoscopic Appendectomy versus Mini-Incision Appendectomy in Patients with Lower Body Mass Index and Non complicated Appendicitis Gastroenterol Res Pract. 2014; 2014: 138648. Published online 2014 Dec 14. doi:  1155/2014/138648

Corresponding Author

Dr R.Sharanya

Senior Resident, Department of General Surgery, Saveetha Medical College Hospital, Thandalam

Ph 9884489870, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.