World Journal of Laparoscopic Surgery

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VOLUME 17 , ISSUE 3 ( September-December, 2024 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Management of Complicated Appendicitis

Aakash N Patel, Riddhi E Shah, Pratik H Vyas, Jaykumar B Donda, Krunal Pradhan

Keywords : Complicated appendicitis, Laparoscopic appendicectomy, Laparoscopic surgery

Citation Information : Patel AN, Shah RE, Vyas PH, Donda JB, Pradhan K. Laparoscopic Management of Complicated Appendicitis. World J Lap Surg 2024; 17 (3):153-156.

DOI: 10.5005/jp-journals-10033-1636

License: CC BY-NC 4.0

Published Online: 16-08-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aims: The aims of this study are to evaluate the effectiveness, feasibility, and safety of laparoscopy for managing complicated appendicitis and to look for postoperative complications as well as morbidity, in a Tertiary Care Hospital. Objectives: To study the laparoscopic appendicectomy in cases of complicated appendicitis with respect to: • Mean duration of the surgical procedure. • Number of days of antibiotics given, postoperatively. • Postoperative day-start of oral feeds. • The incidence of postoperative morbidity. • Analgesics required. Materials and methods: This prospective study was conducted in a Tertiary Care Hospital in Ahmedabad on 50 patients who underwent laparoscopic appendicectomy between June 2022 and March 2023. Conclusion: • Our study has shown results encouraging the use of laparoscopic appendicectomy in cases of complicated appendicitis, having found less postoperative morbidity along with early start of postoperative oral feeds and decreased requirement of postoperative antibiotics. • Although the laparoscopic method can be technically challenging, but the results have demonstrated its feasibility and safety. • Although the number of patients enrolled in this study is far too small, preliminary results show that our experiences with laparoscopic appendicectomy in complicated appendicitis have been encouraging, although technically demanding, with proper surgical technique, it can be done without much postoperative complication. • As the laparoscopic approach has less morbidity in our study, we recommend the use of laparoscopy even with complicated appendicitis.


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