DOI: 10.36347/sasjs.2020.v06i10.004

Pages: 332-336

Introduction: Acute appendicitis is the most common intra-abdominal condition which requires emergency surgery in children. Open Appendectomy (OA) and Laparoscopic Appendectomy (LA) can be used for the intervention. Material and Methods: This is prospective, comparative, single centre and descriptive study conducted in the Department of General Surgery, Surabhi Institute of Medical Sciences over a period of 1 year after approval of ethical clearance. The patients were divided into two groups: open appendectomy (OA) group and laparoscopic appendectomy (LA) group. The diagnosis was made clinically with history (right iliac fossa or periumbilical pain, nausea/vomiting), physical examination (tenderness or guarding in right iliac fossa). In patients where a clinical diagnosis could not be established, imaging studies such as abdominal ultrasound or CT were performed. Results: In our study, duration of the operation time ranged from 30-95 min in Laparoscopic appendectomy (Mean±SD 53.3±3.1) and 25 to 60 min (Mean±SD: 31.2±2.7) in Open appendectomy. Mean duration of post-operative pain was 17.48±3.4 hours in Laparoscopic appendectomy and 30.54±3.45 hours in Open appendectomy (p<0.001). The mean duration of hospital was 2.03±0.12 days in Laparoscopic appendectomy and 5.23±0.57 days in Open appendectomy (p<0.05). Conclusion: Laparoscopic appendectomy becomes more minimal with the one-port technique. Operative time has been reduced after training. It is less painful; it has less wound infections and postoperative ileus. Other complications have the same rate as OA. Hospital stay is shorter, return to a normal diet and activity is faster.