ABSTRACT

Aim: To determine the frequency of complicated appendectomy in patients presented with acute appendicitis also compare the outcomes between laparoscopic and open procedure.

Study design: Retrospective/observational study Place and duration of study: Department of Surgery, Akhtar Saeed Medical & Dental College, Lahore from 1st March 2020to 30th September 2020.

Methodology: Total sixty patients of both genders with ages 20 to 60 years whom were undergoing surgical treatment for acute appendicitis were included. All the patients were divided into two groups; Group A (laparoscopic), Group B (Open method). Patient’s detailed medical history including age, sex, residence were examined after taking informed consent from the patients guardians/parents. Frequency and causes of complicated appendectomy were recorded. Outcomes such as hospital stay, operative time, return to normal activity etc were examined.

Results: Twenty two (73.33%) patients were male while 8 (26.67%) were females in Group A and 24 (80%) male and 20% females in Group B.Mean age of patients in group A was 36.28±10.74 years and in group B it was 37.011+9.26 years. 40 patients had complicated appendectomy in which 18 (60%) in Group B and 22 (73.33%) patients in Group A. Clinically misdiagnosed was the most common cause found in 21 patients out of 40 complicated cases. The overall complication rate was high in open method as compared to laparoscopic method p-value <0.05.

Conclusion:The laparoscopic procedure is the safe and reliable treatment modality with lesser complications as compared to open method for complicated appendectomy in children with first decade of life.

Keywords: Acute appendicitis, Complicated appendectomy, Laparoscopic, Open method, Complications