Muhammad Akram Dogar, Muhammad Azhar Hassan, Khumair Asif, Ibrahim Siddiqui, Tayyaba Rasheed, Laiba Zahid
Pakistan Journal of Medical & Health Sciences




Peer Reviewed

Previous Published Issues


Compare the Outcomes of Periumbilical Vs Intraumbilical Incision in Laparoscopic Appendectomy

Muhammad Akram Dogar, Muhammad Azhar Hassan, Khumair Asif, Ibrahim Siddiqui, Tayyaba Rasheed, Laiba Zahid



498



ABSTRACT

 

Aim: To compare the outcomes of periumbilical incision versus intraumbilical incision in patients undergoing laparoscopic appendectomy.

Study design: Randomized controlled trial

Place and duration: Department of Surgery, Central Park Medical College and Allied Hospitals Lahore from 1st July 2019 to 31st December 2019.

Methods: Two hundred patients of both genders with ages 15 to 60 years undergoing laparoscopic appendectomy were included in this study. Patients were equally divided into two group, each group contains 100 patients, Group I received paraumbilical incision and group II received intraumbilical incision. Outcomes such as hospital stay, postoperative wound infection, nausea, and vomiting and patients satisfaction were examined and compare between both groups.

Results: In group I, 55 (55%) were males and 45(45%) were females with mean age 36.45±10.3 years and in group II, 59(59%) patients were males while 41(41%) were females with mean age 35.92±11.02 years. No significant difference was observed regarding hospital stay between both groups p-value >0.05. No significant difference was observed regarding postoperative wound infection between both groups I and II, 4(4%) versus 1(1%) with p-value >0.05. In group II, 1(1%) patient had postoperative nausea and 1(1%) had vomiting while in group I, 2(2%) patients had nausea and 4(4%) had vomiting. In group I, 96% patients were satisfied with the procedure while in group II, 98% patients were satisfied.

Conclusion:No significant difference was observed between both procedures regarding hospital stay, wound infection, nausea and vomiting and patients satisfaction. However, intraumbilical incision had fewer complications as compared to periumbilical incision.

Keywords: Laparoscopic appendectomy, Periumbilical incision, Intraumbilical incision, Wound infection

 




Copyright © Pakistan Journal of Medical & Health Sciences 2021. All rights reserved!