Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana
Background: Laparoscopic Appendectomy [LA] is widely practiced than Open Appendectomy [OA] for the management of acute appendicitis1. It is still unclear in rural settings which procedure is more preferable. Aims and Objectives: The current study was done to compare the safety and the advantage...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2019-04-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/files-vol7-issue1-19/shailaja-vol-7-issue-1-2019.PDF |
| _version_ | 1797462408035303424 |
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| author | Shailaja Adepu1 , Jayaram Adepu2 |
| author_facet | Shailaja Adepu1 , Jayaram Adepu2 |
| author_sort | Shailaja Adepu1 , Jayaram Adepu2 |
| collection | DOAJ |
| description | Background: Laparoscopic Appendectomy [LA] is widely
practiced than Open Appendectomy [OA] for the management
of acute appendicitis1. It is still unclear in rural settings which
procedure is more preferable.
Aims and Objectives: The current study was done to compare
the safety and the advantages of both the procedures in rural
settings of Telangana state.
Material and methods: One hundred and eighty patients were
randomly divided into two groups, OA [Open Appendectomy
group] and LA [Laparoscopic Appendectomy] group. Socio
demographic parameters, primary outcome measures of the
patients such as post operative pain, wound infection, hospital
stay, operative duration, cost of the procedure were collected
and analyzed. Percentages were calculated for categorical data,
numerical data was represented using mean ± S.D. Chi square
test was used for comparing categorical and numerical
variables.
Results: After randomization, 90 patients were in group OA,
90 patients were in group LA. The mean duration of surgery
was 32.67 ± 5.229 in OA and 47.25± in LA, pain scores were
less in LA than OA. Cost of the surgery was more in LA [mean
average Rupees 21,453] over OA [mean average Rupees
12,865].
Conclusion: LA is safe and superior to OA with respect to lesser
pain in postoperative period, less wound infection, earlier
return of bowel sounds, short hospital stay and better cosmetic
look. The cost of the procedure has big impact over patient’s
socioeconomic conditions in rural parts which should be
addressed by health care providers. |
| first_indexed | 2024-03-09T17:36:04Z |
| format | Article |
| id | doaj.art-cc4ad8a9e1d64c14ac73da6441cf1a19 |
| institution | Directory Open Access Journal |
| issn | 2348-1447 2348-229X |
| language | English |
| last_indexed | 2024-03-09T17:36:04Z |
| publishDate | 2019-04-01 |
| publisher | Prathima Institute of Medical Sciences |
| record_format | Article |
| series | Perspectives In Medical Research |
| spelling | doaj.art-cc4ad8a9e1d64c14ac73da6441cf1a192023-11-24T11:52:43ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2019-04-01714548Comparision of laparascopic versus open appendectomy in rural teaching hospital of TelanganaShailaja Adepu1 , Jayaram Adepu2Background: Laparoscopic Appendectomy [LA] is widely practiced than Open Appendectomy [OA] for the management of acute appendicitis1. It is still unclear in rural settings which procedure is more preferable. Aims and Objectives: The current study was done to compare the safety and the advantages of both the procedures in rural settings of Telangana state. Material and methods: One hundred and eighty patients were randomly divided into two groups, OA [Open Appendectomy group] and LA [Laparoscopic Appendectomy] group. Socio demographic parameters, primary outcome measures of the patients such as post operative pain, wound infection, hospital stay, operative duration, cost of the procedure were collected and analyzed. Percentages were calculated for categorical data, numerical data was represented using mean ± S.D. Chi square test was used for comparing categorical and numerical variables. Results: After randomization, 90 patients were in group OA, 90 patients were in group LA. The mean duration of surgery was 32.67 ± 5.229 in OA and 47.25± in LA, pain scores were less in LA than OA. Cost of the surgery was more in LA [mean average Rupees 21,453] over OA [mean average Rupees 12,865]. Conclusion: LA is safe and superior to OA with respect to lesser pain in postoperative period, less wound infection, earlier return of bowel sounds, short hospital stay and better cosmetic look. The cost of the procedure has big impact over patient’s socioeconomic conditions in rural parts which should be addressed by health care providers.http://www.pimr.org.in/files-vol7-issue1-19/shailaja-vol-7-issue-1-2019.PDFopen appendectomylaparoscopic appendectomycost of surgery |
| spellingShingle | Shailaja Adepu1 , Jayaram Adepu2 Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana Perspectives In Medical Research open appendectomy laparoscopic appendectomy cost of surgery |
| title | Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana |
| title_full | Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana |
| title_fullStr | Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana |
| title_full_unstemmed | Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana |
| title_short | Comparision of laparascopic versus open appendectomy in rural teaching hospital of Telangana |
| title_sort | comparision of laparascopic versus open appendectomy in rural teaching hospital of telangana |
| topic | open appendectomy laparoscopic appendectomy cost of surgery |
| url | http://www.pimr.org.in/files-vol7-issue1-19/shailaja-vol-7-issue-1-2019.PDF |
| work_keys_str_mv | AT shailajaadepu1jayaramadepu2 comparisionoflaparascopicversusopenappendectomyinruralteachinghospitaloftelangana |