DOI: 10.36347/sasjs.2023.v09i05.024

Pages: 460-465

Background: Laparoscopic surgery has become the procedure of choice for treating appendicitis. But in this evolving era, single incision laparoscopic surgery for appendicitis is gaining importance because of its cosmetic benefits. So, here we compared outcomes of two laparoscopic surgeries in terms of intraoperative time, postoperative pain, postoperative hospital stay, postoperative tolerance to diet, postoperative complications & cosmesis. Method: A total of 100 patients who underwent laparoscopic appendectomy were studied. Patients were grouped under 2 categories randomly, group A undergoing single incision laparoscopic appendectomy (SILA) & group B undergoing conventional three port laparoscopic appendectomy (CLA). Post operatively, duration of surgery, post-operative time, post-operative hospital stay, tolerance to diet, patients satisfaction were monitored. Result: Our study included 100 patients- 50 in group A(SILA) & 50 in group B(CLA). Duration of surgery was significantly longer in group A as compared to group B(42.77 min vs 35.47 min ; p<0.001). Patients had significantly lower pain score at 24 hours postoperatively in group A as compared to group B(3.38 vs 4.62, p<0.001). Post-surgical complications in terms of superficial surgical site infection were more in group A(4 vs 2, p ). There was no significant difference in postoperative hospital stay and tolerance to oral feed postoperatively. There was no conversion to open appendectomy in both the groups. There was significant higher patients satisfaction score in group A patients (8.40 vs 6.12, p<0.001). Conclusion: In addition to better cosmesis after SILA, SILA inflicts considerable less pain postoperatively than CLA with no significant differences in postoperative tolerance to oral diet, surgical site complications & hospital stay.