scholarly journals Comparison of laparoscopic and open appendectomy on wound infection and healing in complicated appendicitis

2020 ◽  
Vol 17 (4) ◽  
pp. 957-965
Author(s):  
Yılmaz Güler ◽  
Zülfikar Karabulut ◽  
Hasan Çaliş ◽  
Serkan Şengül
Keyword(s):  
Wound Infection ◽  
Open Appendectomy ◽  
Complicated Appendicitis

scholarly journals Complications after Laparoscopic Appendectomy for Complicated Appendicitis

2020 ◽  
Vol 19 (1-2) ◽  
pp. 34-41
Author(s):  
Andrej Nikolovski ◽  
Shenol Tahir ◽  
Dragoslav Mladenovikj
Keyword(s):  
Postoperative Complications ◽  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Operative Time ◽  
Open Appendectomy ◽  
Laparoscopic Group ◽  
Complicated Appendicitis ◽  
Open Group ◽  
Uncomplicated Appendicitis ◽  
Low Incidence

Background. Laparoscopic appendectomy is established method in the treatment of complicated appendicitis. Certain advantages of the technique do not fulfill the expectations for its superiority over the open appendectomy as when it is used for uncomplicated appendicitis. This is generally caused because of the high variety of postoperative complications reported in different series for complicated appendicitis. Material and methods. This prospective interventional clinical study analyzes 61 patients operated with laparoscopic and open appendectomy due to complicated appendicitis, with an end point of comparing the intra and postoperative complications in both groups. Results. Conversion in open appendectomy was forced in one patient (1.63%). The operative time was significantly shorter in the laparoscopic group (p = 0.048). Wound infection was significantly predominant in the open group (p = 0.045). Postoperative intraabdominal abscess occurred in one patient in the laparoscopic group (p = 0.52). The overall morbidity was 26.2% (7 patients in the laparoscopic, and 9 in the open group; p = 0.59). Length of stay was significantly shorter in the laparoscopic group (p = 0.00001). Conclusion. Certain significant advantages of the laparoscopic appendectomy as low incidence of wound infection, short hospitalization, less postoperative pain and faster socialization makes the laparoscopy up to date method in the treatment of complicated appendicitis.

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

2021 ◽  
Vol 15 (8) ◽  
pp. 2163-2165
Author(s):  
Muhammad Armughan ◽  
Imran Sadiq ◽  
Shafqat Mukhtar ◽  
Hafiz Ahmad Altaf
Keyword(s):  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Surgical Procedure ◽  
Open Appendectomy ◽  
Perforated Appendicitis ◽  
Diabetic Patients ◽  
Wound Infections ◽  
Hypertensive Patients ◽  
Duration Of Surgery ◽  
Perforated Appendix

Background: Perforated appendix in diabetic as well as hypertensive patients is associated with elevated risks of postoperative infectious complications such as wound infection and intra-abdominal abscess. Objective: To identify better appendectomy procedure for diabetic and hypertensive patients. Study Design: Randomized Controlled Trial Place and Duration of Study: Department of Surgery, Unit l, Bahawal Victoria Hospital Bahawalpur from 10th October 2020 to 9th April 2021. Methodology: Ninety eight patients meeting the criteria of perforated appendix were divided in two groups; one group consisted of 49 patients who were managed by open surgical procedure. Second group was consisted of 49 patients who were managed by laparoscopic surgical procedure. Patient outcomes in-terms of wound infections, operative time and duration of surgery was assessed. Results: Mean age of patients was 25.49±6.03 years. There were 17 hypertensive while 15 diabetic patients. Wound infection was seen in 21% and 28% open surgery diabetic and hypertensive patients respectively in comparison to 10%and 8% in laparoscopic appendectomy diabetic and hypertensive patients respectively (p<0.001). Conclusion: Laparoscopic appendectomy (LA) is associated with significantly lower rates of post-operative wound infections and shorter hospital stay in comparison to open appendectomy in diabetic and hypertensive patients of perforated appendicitis. Key Words: Perforated appendix, laparoscopic, open appendectomy

Laparoscopic Versus Open Appendectomy for Complicated Appendicitis

2007 ◽  
Vol 205 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Kwok Kay Yau ◽  
Wing Tai Siu ◽  
Chun Ngai Tang ◽  
George Pei Cheung Yang ◽  
Michael Ka Wah Li
Keyword(s):  
Open Appendectomy ◽  
Complicated Appendicitis ◽  
Laparoscopic Versus Open Appendectomy

Laparoscopic versus open appendectomy in children with complicated appendicitis

2017 ◽  
Vol 13 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Mohammad G. Khirallah ◽  
Nagi I. Eldesouki ◽  
Aya A. Elzanaty ◽  
Khalid A. Ismail ◽  
Mohammad A. Arafa
Keyword(s):  
Open Appendectomy ◽  
Complicated Appendicitis ◽  
Laparoscopic Versus Open Appendectomy

Comparison of Outcomes of Single-Incision Laparoscopic and Open Appendectomy in Management of Uncomplicated and Complicated Appendicitis

2017 ◽  
Vol 80 (5) ◽  
pp. 442-446
Author(s):  
Yasumitsu Hirano ◽  
Yasuhiro Ishiyama ◽  
Mari Shimada ◽  
Chikashi Hiranuma ◽  
Yasuo Hashizume ◽  
...  
Keyword(s):  
Single Incision ◽  
Open Appendectomy ◽  
Complicated Appendicitis

scholarly journals Study of acute appendicitis among surgery inpatients of a secondary care hospital

2019 ◽  
Vol 6 (11) ◽  
pp. 3916
Author(s):  
Shashidhara Puttaraju ◽  
Abirami Kailasam
Keyword(s):  
Acute Appendicitis ◽  
Peritoneal Lavage ◽  
Open Appendectomy ◽  
Delayed Diagnosis ◽  
Significant Rise ◽  
Complicated Appendicitis ◽  
Medical Attention ◽  
Care Hospital ◽  
Age Group ◽  
Background Pain

Background: Pain in abdomen is one of the most common symptoms which patients presented at emergency department, which seeks urgent medical attention and treatment. Acute appendicitis is one among the predominant acute abdominal surgical emergency. This condition may be associated with complications and significant rise in morbidity and even mortality if there is a delayed diagnosis and treatment.Methods: This was a hospital based descriptive study of the patients admitted in the department of General Surgery of JSS Hospital, Chamarajanagar, between June 2017 and August 2019, with clinically diagnosed acute appendicitis, which was confirmed on ultrasonography, postoperatively confirmed by histopathology.Results: The present study showed that acute appendicitis was most common among the age group of 11-30 years (57.3%) and more among the males (58.8%). The surgery done for acute appendicitis was open appendectomy, done for 82.4% of the cases, 16.2% of the cases required laparotomy with peritoneal lavage and drainage, due to abscess formation, perforation and associated small bowel perforation.Conclusions: The most common age group affected with appendicitis in our study was 11-30 years. The most common intra operative finding was inflamed appendix, which showed that simple appendicitis is more common than complicated appendicitis in our study and appendectomy is the preferred surgery for acute appendicitis.

scholarly journals TO FIND THE INCIDENCE OF TYPE OF POST OPERATIVE WOUND INFECTION IN UNCOMPLICATED ACUTE APPENDICITIS CASES USING PROPHYLACTIC POST OPERATIVE ANTIBIOTICS

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Vishal Prashar ◽  
Shamsher Singh
Keyword(s):  
Acute Appendicitis ◽  
Wound Infection ◽  
Open Appendectomy ◽  
Cost Of Treatment ◽  
Uncomplicated Appendicitis ◽  
Randomized Control ◽  
Uncomplicated Acute Appendicitis ◽  
Abdominal Infections ◽  
Control Prospective Study ◽  
Operative Wound

Background: The efficacy of antibiotic prophylaxis in patients undergoing appendectomy has been examined in several randomized and observational studies showing that appropriate use of antibiotics reduces the risk of SSI following appendectomy by 40-60%. These antibiotics are continued in postoperative period with different courses and combinations according to each case. Methods: This randomized control prospective study was conducted in IGMC SHIMLA from August 2017 to July 2018. Cases of uncomplicated acute appendicitis undergoing emergency open appendectomy were included in this study. Results: All the 9 patients who had wound infection developed superficial surgical site infection. None of the patients developed deep surgical site or intra abdominal infections in either of the two groups. Conclusion: Frequency of post operative wound infection is generally very low in uncomplicated appendicitis. The prolonged use of antibiotics post operatively is unnecessary, can increase antibiotic resistance, can produce side effects and increase cost of treatment. Keywords:  Wound infection, Antibiotic, Acute appendicitis.

Sign in / Sign up

Export Citation Format

Share Document