Downloads: 130 | Views: 321
Research Paper | Medical Science | India | Volume 7 Issue 10, October 2018 | Popularity: 6.7 / 10
Is Cosmesis the Choice for An Appendicectomy?
Dr. Nisha Thambuchetty, Dr. Rakesh Rai
Abstract: Open appendectomy is a time tested technique while laparoscopic appendectomy is newer concept. Small Incision Open Appendectomy was done via 2-3 cm incision at McBurneys point and Laproscopic Appendectomy was done via standard 3 port technique. Our Objective was to compare small incision open appendectomies with laparoscopic appendectomies. In the present study a total 60 patients with appendicitis were selected, of whom 30 underwent SIOA (small incision open appendectomy) and remaining 30 underwent LA (laparoscopic appendectomy). Both the technique were compared in terms of operative time, post-operative pain, analgesic requirement, post-operative length of stay, time to return to daily activities, complications, conversion rate, cost and cosmetic outcome. The results showed that SIOA is better than LA in terms of operative time (mean 25 vs.44 minutes), time to return to daily activity (mean 4.8 vs.6.2 days). SIOA and LA were comparable in terms of Post-operative pain (mean 5.3vs 5.9 at POD1), analgesics requirement (mean 5.96 vs.5.93 doses), post-operative hospital stay (mean 2.9 vs.3.5 days) and cosmetic effect. The cost was higher in LA group compared to SIOA. SIOA is the method of choice in thin and lean patients as LA offers no advantage over SIOA in this group while increasing costs. LA is the preferable method for obese patients. SIOA takes less time than LA. SIOA is comparable to LA in terms of post-operative pain, analgesics requirement, hospitals stay and return to daily activities. SIOA is more economic and cost-effective than LA. SIOA is cosmetically as good as LA.
Keywords: LA-laparoscopic appendectomy, SIOA-small incision open appendectomy, cosmetic results, cost effectiveness, duration of surgery
Edition: Volume 7 Issue 10, October 2018
Pages: 1428 - 1434
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper, Medical Science, India, Volume 13 Issue 11, November 2024
Pages: 977 - 981Endotracheal Tube Cuff Pressure Changes in Mechanically Ventilated Patients Undergoing General Anaesthesia with O2, N2o & Other Inhalation Agents in Elective O. T. & in Intensive Care Unit Set-Up with O2 and Air - A Prospective Observational Study
Dr. Nilotpal Das, Dr Mrinal Kanti Taye, Dr. Babita Lahkar, Dr. Putul Pegu
Downloads: 2 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2
Comparative Studies, Medical Science, India, Volume 12 Issue 8, August 2023
Pages: 1037 - 1042Comparative Study: Impact of Propofol and Ketamine Pretreatment on Succinylcholine - Induced Myalgia
Dr. Aakansha Bharat, Dr. Vasanti Sasturkar, Dr. Tulika Newale
Downloads: 125 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper, Medical Science, India, Volume 7 Issue 10, October 2018
Pages: 1134 - 1136Intrathecal Fentanyl for Prevention of Shivering in Spinal Anaesthesia in Lower Limb Surgeries
Dr Poonam Kalra, Dr Aarti Prabhakar
Downloads: 126
Comparative Studies, Medical Science, India, Volume 9 Issue 1, January 2020
Pages: 948 - 953Comparative Study of Low Dose Bupivacaine-Fentanyl versus Conventional Dose of Bupivacaine in Spinal Anesthesia for Orthopedic Procedures in Elderly Patients: A Prospective Randomised Double Blind Study
Dr Nafisa Sharfeen, Dr. Jalaja Praveena
Downloads: 130
Research Paper, Medical Science, India, Volume 7 Issue 11, November 2018
Pages: 1918 - 1921A Comparison of Analgesic Effect of Different Doses of Intrathecal Nalbuphine Hydrochloride with Bupivacaine and Bupivacaine Alone for Infraumblical Surgeries
Dr. Alaka Purohit, Dr. Hukam Chand Sharma