COMPARATIVE STUDY OF OPEN VS LAPAROSCOPIC APPENDECTOMY IN ACUTE APPENDICITIS
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Keywords
Acute appendicitis, Open appendectomy, Laparoscopic appendectomy, Postoperative pain, Recovery
Abstract
Background: Acute appendicitis is a common surgical emergency. While open appendectomy (OA) has been the traditional standard, laparoscopic appendectomy (LA) offers potential advantages such as reduced postoperative pain, shorter hospital stay, and faster recovery. This study was conducted to compare outcomes of open versus laparoscopic appendectomy in patients with acute appendicitis.
Methods: A prospective study was conducted on 100 patients with acute appendicitis, divided into OA (n=50) and LA (n=50) groups. Operative time, postoperative pain (VAS score), hospital stay, complications, and time to return to normal activity were recorded and analyzed.
Results: The mean operative time was slightly longer in the LA group (65 ± 12 min) than OA (55 ± 10 min, p<0.001). Postoperative pain at 24 hours was lower in the LA group (VAS 3.5 ± 0.8 vs 5.8 ± 1.2, p<0.001). Hospital stay (2.3 ± 0.6 vs 4.1 ± 1.0 days) and time to return to normal activity (6.8 ± 1.5 vs 10.5 ± 2.1 days) were significantly shorter in the LA group (p<0.001). Complication rates were comparable (OA 10% vs LA 6%, NS).
Conclusion: Both OA and LA are safe and effective. Laparoscopic appendectomy provides less pain, faster recovery, and shorter hospitalization, while open appendectomy remains a cost-effective, reliable option. The choice of approach should depend on patient profile, surgeon expertise, and resource availability.
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Dr. R. Surya Narayana
Assistant Professor, Department of General Surgery, Viswabharathi Medical College, Kurnool, Andhra Pradesh
Dr. M. Lakshmana Kumar Yadav
Associate Professor, Department of General Surgery, Viswabharathi Medical College, Kurnool, Andhra Pradesh
Dr. G. Chirag Krishna Yadav
Assistant Professor, Department of General Surgery, Viswabharathi Medical College, Kurnool, Andhra Pradesh