Comparison between laparoscopic and open appendectomy in pregnant women

Authors

  • Subba Rao Dova Department of Surgery, NRI Institute of Medical Sciences, Sangivalasa, Visakhapatnam, Andhra Pradesh, India
  • Sankara Rao Pagoti Department of Surgery, NRI Institute of Medical Sciences, Sangivalasa, Visakhapatnam, Andhra Pradesh, India
  • Manoj Kumar Mannem Department of Surgery, NRI Institute of Medical Sciences, Sangivalasa, Visakhapatnam, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20171609

Keywords:

Acute appendicitis, Appendicectomy, Laparoscopic procedure

Abstract

Background: Acute appendicitis is the most common indication for surgical emergency in normal patients and also in pregnant women. The objective of this study was to study the clinical significance of a laparoscopic over an open approach to appendicectomy pregnant population.

Methods: Total 46 cases patients with acute appendicitis confirmed the diagnosis by clinical examination and ultrasonography. The patients were divided into two groups laparoscopic appendectomy (group 1) n=21 and Open appendectomy (group 2) n=25. We retrospectively analyzed the medical records to compare the 2 groups.

Results: All the demographic details are not significant when compared with each other. Laparoscopic appendectomy is significantly i.e. <p-value <0.05 less time for operation, length of stay in hospital and complication when compared with open procedure. Time to first flatus, leucocyte and neutrophil ratio are not significantly when compared laparoscopic appendectomy and open appendectomy. Preterm delivery, birth weight, APGAR score, gestational age at delivery, delivery type, fetal loss and maternal death were not significant when compared laparoscopic appendectomy and open appendectomy.

Conclusions: Laparoscopic procedure is safe and effective technique for the treatment of appendicitis during pregnancy with nearly similar rates of complications compared to open procedure. Laparoscopic appendectomy associated with shorter hospital stay, faster return to daily activities and shorter time to first flatus.

References

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Published

2017-04-22

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Original Research Articles