Feasibility of laproscopic appendectomy in appendicities and appendicular perforation

Introduction: The advent and rapid acceptance of laparoscopic surgery led to the idea of performing laparoscopic appendectomy (LA). In 1983 Semm, a German gynecologist performed the first LA. More than three decades later, the benefits of LA are still controversial. The objective of this study is...

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Autores principales:	RK Sah, S Bishokarma
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Appendicitis Laparoscopic appendectomy Appendicular perforation. Surgery RD1-811
Acceso en línea:	https://doaj.org/article/9afbe3767216409e9b75ca1746e2adba
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spelling	oai:doaj.org-article:9afbe3767216409e9b75ca1746e2adba2021-12-05T19:16:45ZFeasibility of laproscopic appendectomy in appendicities and appendicular perforation10.3126/jssn.v18i3.152681815-39842392-4772https://doaj.org/article/9afbe3767216409e9b75ca1746e2adba2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15268https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: The advent and rapid acceptance of laparoscopic surgery led to the idea of performing laparoscopic appendectomy (LA). In 1983 Semm, a German gynecologist performed the first LA. More than three decades later, the benefits of LA are still controversial. The objective of this study is to assess the feasibility of laproscopic appendectomy in appendicitis and appendicular perforation. Methods: Thirty five patient undergoing laproscopicappendectomy for appendicitis from 14th feb 2015 to 11th feb 2016 in Grande international hospital were included in the study. Duration of surgery, requirement of analgesia, time to normal diet and regular activity as well as length of hospital stay and postoperative complications were studied. Results: A total of 35 patients underwent laparoscopic appendectomy during the study period.Ten patients have peri-appendicular pus collection of which six patients have perforation. Median duration of surgery was 59±8.64 minutes. Mean Post operative pain score was 4.71±0.71. Mean intravenous fevastin requirement was 3.31±0.9 gm and intravenous ketorolac was 94±27mg while oral diclofenac was 731±172.81mg. Postoperative complications were 9%. Mean time to normal diet resumption was 1.17±0.47 days and time to normal activities was 10.5±2.44 days. Median length of hospital stay was 1.9±0.96 days. Conclusion: Laproscopic appendectomy is a feasible option for appendicitis as well as appendicular perforation. More frequent use of this procedure may lead to reduction in operating time. Continuation of laproscopic appendectomy as a therapeutic option for patients with appendicitisas well as appendicular perforation need evaluation in large study scale. RK SahS BishokarmaSociety of Surgeons of NepalarticleAppendicitisLaparoscopic appendectomyAppendicular perforation.SurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Appendicitis Laparoscopic appendectomy Appendicular perforation. Surgery RD1-811
spellingShingle	Appendicitis Laparoscopic appendectomy Appendicular perforation. Surgery RD1-811 RK Sah S Bishokarma Feasibility of laproscopic appendectomy in appendicities and appendicular perforation
description	Introduction: The advent and rapid acceptance of laparoscopic surgery led to the idea of performing laparoscopic appendectomy (LA). In 1983 Semm, a German gynecologist performed the first LA. More than three decades later, the benefits of LA are still controversial. The objective of this study is to assess the feasibility of laproscopic appendectomy in appendicitis and appendicular perforation. Methods: Thirty five patient undergoing laproscopicappendectomy for appendicitis from 14th feb 2015 to 11th feb 2016 in Grande international hospital were included in the study. Duration of surgery, requirement of analgesia, time to normal diet and regular activity as well as length of hospital stay and postoperative complications were studied. Results: A total of 35 patients underwent laparoscopic appendectomy during the study period.Ten patients have peri-appendicular pus collection of which six patients have perforation. Median duration of surgery was 59±8.64 minutes. Mean Post operative pain score was 4.71±0.71. Mean intravenous fevastin requirement was 3.31±0.9 gm and intravenous ketorolac was 94±27mg while oral diclofenac was 731±172.81mg. Postoperative complications were 9%. Mean time to normal diet resumption was 1.17±0.47 days and time to normal activities was 10.5±2.44 days. Median length of hospital stay was 1.9±0.96 days. Conclusion: Laproscopic appendectomy is a feasible option for appendicitis as well as appendicular perforation. More frequent use of this procedure may lead to reduction in operating time. Continuation of laproscopic appendectomy as a therapeutic option for patients with appendicitisas well as appendicular perforation need evaluation in large study scale.
format	article
author	RK Sah S Bishokarma
author_facet	RK Sah S Bishokarma
author_sort	RK Sah
title	Feasibility of laproscopic appendectomy in appendicities and appendicular perforation
title_short	Feasibility of laproscopic appendectomy in appendicities and appendicular perforation
title_full	Feasibility of laproscopic appendectomy in appendicities and appendicular perforation
title_fullStr	Feasibility of laproscopic appendectomy in appendicities and appendicular perforation
title_full_unstemmed	Feasibility of laproscopic appendectomy in appendicities and appendicular perforation
title_sort	feasibility of laproscopic appendectomy in appendicities and appendicular perforation
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/9afbe3767216409e9b75ca1746e2adba
work_keys_str_mv	AT rksah feasibilityoflaproscopicappendectomyinappendicitiesandappendicularperforation AT sbishokarma feasibilityoflaproscopicappendectomyinappendicitiesandappendicularperforation
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Feasibility of laproscopic appendectomy in appendicities and appendicular perforation

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