Vol. 2, Issue 2 (2016)
A comparative study of laparoscopic appendicectomy and open appendicectomy
Author(s): Dr. Mukesh Kumar, Dr. Jainendra Kumar, Dr. Anshu Atrey
Abstract: Laparoscopic appendicectomy combines the advantages of diagnosis & treatment in single procedure with least morbidity. In addition, whole abdomen can be visualized to rule out other coexisting pathology. Patients are likely to have less postoperative pain and be discharged from hospital and return to activities and routine work sooner than those who have undergone open appendicectomy. Other advantages include decreased incidence of wound infection, better cosmesis, feasibility to explore the entire peritoneal cavity for diagnosis of other conditions and effective peritoneal toileting without the need for extending the incision. Laparoscopic appendicectomy is increasingly employed, particularly in young women of child bearing age in whom the differential diagnosis of right lower quadrant pain includes gynecological pathology as well. Most of criticism has focused on the increased technical difficulty and higher hospital cost, which have not yielded any significant improvement in the length of hospital stay or patient recovery. Further research is needed to determine the safety, efficacy and long-term effects of laparoscopic appendicectomy in comparison with the traditional open appendicectomy.
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