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ORIGINAL ARTICLE
Year : 2019  |  Volume : 32  |  Issue : 2  |  Page : 554-559

Laparoscopic versus open appendectomy in complicated acute appendicitis


1 General Surgery Department, Faculty of Medicine, Menoufia University, Shebein El-Kom, Egypt
2 General Surgery Department, Shebein El-Kom Teaching Hospital, Shebein El-Kom, Egypt

Correspondence Address:
Aiman HM Alsegaey
Ebshaway Elmalaq, Qotor, Gharbia
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_78_18

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Objective To compare between laparoscopic appendectomy (LA) and open appendectomy (OA) in complicated acute appendicitis to determine which procedure is better. Background OA is the standard operation for patients with complicated acute appendicitis. Recently, LA was introduced. LA could become a great method to treat complicated acute appendicitis. Patients and methods A prospective equivalence randomized study was conducted in 40 patients who were divided into two groups. One of the group was operated using ordinary open technique, and the other group was operated using laparoscopic technique. They were admitted to the emergency room in the Menoufia University and Shebein El Kom Teaching Hospitals during the period from September 2014 to November 2015. Results OA and LA was performed in 40 patients (20 patients for each procedure). The laparoscopic technique was better in operative time (P = 0.014), less intraoperative complication, less postoperative complications (7.5% of all patients had complications postoperatively all in open group), less length of hospital stay (P = 0.025), and less oral intake time (P = 0.365). Conclusion LA is a safe and feasible option in the management of complicated acute appendicitis.


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