LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS
Khorshid, A., Kotb, I., Marzouk, M., Elsaid, K. (2022). LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS. EKB Journal Management System, 73(2), 339-351. doi: 10.21608/asmj.2022.252409
Ahmed Alaa Eldin Abd El Raouf Khorshid; Ismail Abdel Hakim Kotb; Mohamed Abdel Moniem Marzouk; Kamal Mamdouh Kamal Elsaid. "LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS". EKB Journal Management System, 73, 2, 2022, 339-351. doi: 10.21608/asmj.2022.252409
Khorshid, A., Kotb, I., Marzouk, M., Elsaid, K. (2022). 'LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS', EKB Journal Management System, 73(2), pp. 339-351. doi: 10.21608/asmj.2022.252409
Khorshid, A., Kotb, I., Marzouk, M., Elsaid, K. LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS. EKB Journal Management System, 2022; 73(2): 339-351. doi: 10.21608/asmj.2022.252409

LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN THE MANAGEMENT OF COMPLICATED APPENDICITIS

Ain Shams Medical Journal
Article 9, Volume 73, Issue 2, June 2022, Page 339-351  XML PDF (513.41 K)
Document Type: Original Article
DOI: 10.21608/asmj.2022.252409
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Authors
Ahmed Alaa Eldin Abd El Raouf Khorshid1; Ismail Abdel Hakim Kotb2; Mohamed Abdel Moniem Marzouk2; Kamal Mamdouh Kamal Elsaid2
1Nozha International Hospital, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
2General Surgery Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Abstract
Background: Laparoscopic appendicectomy (LA) is the preferred approach in uncomplicated appendicitis. However, in patients with complicated appendicitis (CA), the best approach is still unclear.
Aim of the work: A prospective randomized study to compare the outcomes of LA and OA in management of CA regarding their efficacy, safety and postoperative complications.
Patients and methods: 60 patients, admitted with a diagnosis of CA were divided into two groups, LA group and OA group, with 30 patients in each group. All patients were monitored for early and late post-operative complications with follow up in the out-patient clinics up to 12 month post-operative.
Results: LA group had decreased incidence of postoperative surgical site infections (SSI) with comparable results regarding operative time, length of hospital stay, rates of hospital readmission and the need of re-operation. LA demonstrated considerable significant advantages over OA in CA regarding additional outcomes including decreased postoperative pain & increased cosmesis satisfaction.
Conclusion: LA can be safely adopted in CA and can be performed safely with a low incidence of infectious complications.
Keywords
Complicated appendicitis; laparoscopic appendices-tomy; open appendicectomy; post-operative complications
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