Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting
Background: Acute appendicitis is the most common cause of the acute abdomen; thus, appendectomy is part of most daily emergency surgical duties. It is conducted through either open or laparoscopic approach. Methods: A prospective hospital-based study compared the clinical outcomes of open versus la...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2021-10-01
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| Series: | The Annals of African Surgery |
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| Online Access: | https://www.annalsofafricansurgery.com/outcomes-lap-vs-open-appendectomy |
| _version_ | 1818883125449588736 |
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| author | Mohanned Omer Abass Yassir Altahir Abdullah Elssayed Osman Elssayed Abdelrahman Babekir Mhammed Mohamed Saeed Alfaki |
| author_facet | Mohanned Omer Abass Yassir Altahir Abdullah Elssayed Osman Elssayed Abdelrahman Babekir Mhammed Mohamed Saeed Alfaki |
| author_sort | Mohanned Omer Abass |
| collection | DOAJ |
| description | Background: Acute appendicitis is the most common cause of the acute abdomen; thus, appendectomy is part of most daily emergency surgical duties. It is conducted through either open or laparoscopic approach. Methods: A prospective hospital-based study compared the clinical outcomes of open versus laparoscopic appendectomy for patients with acute appendicitis in El-Mek Nimir University Hospital, Sudan. Results: A total of 550 cases of acute appendicitis were studied, of which 328 (59.6%) underwent open appendectomy surgery and 222 (39.4%) underwent laparoscopic appendectomy. The majority of the study’s population was female. Laparoscopic appendectomy generally involved a longer operation time than open appendectomy (mean duration, 42.4±12.5 vs. 29±16 minutes), lesser incidence of severe pain postoperatively (3% vs. 11%; p=0.000), shorter hospital stay (i.e., <24 hours; 96% vs.77%; p=0.000), and a higher rate of patient return to normal activities within 1 week (92% vs.15%; p=0.000). Differences in the occurrence of bleeding, wound infection, or intra-abdominal septic collection were not statistically significant. Conclusion: Both open and laparoscopic appendectomy procedures are safe for the management of acute appendicitis; however, laparoscopic appendectomy is associated with fewer complications and a faster recovery. |
| first_indexed | 2024-12-19T15:28:41Z |
| format | Article |
| id | doaj.art-d8dc8424d51c4e61abe974cd634e2822 |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-12-19T15:28:41Z |
| publishDate | 2021-10-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-d8dc8424d51c4e61abe974cd634e28222022-12-21T20:15:48ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162021-10-01184dx.doi.org/10.4314/aas.v18i4.7Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited SettingMohanned Omer Abass0Yassir Altahir Abdullah1Elssayed Osman Elssayed2Abdelrahman Babekir Mhammed3Mohamed Saeed Alfaki4Department of Surgery, Faculty of Medicine, Shendi University, Shendi, SudanFaculty of Medicine, Shendi University, Shendi, SudanDepartment of Surgery, Faculty of Medicine, Shendi University, Shendi, SudanDepartment of Surgery, Faculty of Medicine, Shendi University, Shendi, SudanQuality Department, King Abd-ul-Aziz Specialty Hospital, Taif, Saudi Arabia Background: Acute appendicitis is the most common cause of the acute abdomen; thus, appendectomy is part of most daily emergency surgical duties. It is conducted through either open or laparoscopic approach. Methods: A prospective hospital-based study compared the clinical outcomes of open versus laparoscopic appendectomy for patients with acute appendicitis in El-Mek Nimir University Hospital, Sudan. Results: A total of 550 cases of acute appendicitis were studied, of which 328 (59.6%) underwent open appendectomy surgery and 222 (39.4%) underwent laparoscopic appendectomy. The majority of the study’s population was female. Laparoscopic appendectomy generally involved a longer operation time than open appendectomy (mean duration, 42.4±12.5 vs. 29±16 minutes), lesser incidence of severe pain postoperatively (3% vs. 11%; p=0.000), shorter hospital stay (i.e., <24 hours; 96% vs.77%; p=0.000), and a higher rate of patient return to normal activities within 1 week (92% vs.15%; p=0.000). Differences in the occurrence of bleeding, wound infection, or intra-abdominal septic collection were not statistically significant. Conclusion: Both open and laparoscopic appendectomy procedures are safe for the management of acute appendicitis; however, laparoscopic appendectomy is associated with fewer complications and a faster recovery.https://www.annalsofafricansurgery.com/outcomes-lap-vs-open-appendectomyacute appendicitisopen appendectomylaparoscopic appendectomycomplications. |
| spellingShingle | Mohanned Omer Abass Yassir Altahir Abdullah Elssayed Osman Elssayed Abdelrahman Babekir Mhammed Mohamed Saeed Alfaki Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting The Annals of African Surgery acute appendicitis open appendectomy laparoscopic appendectomy complications. |
| title | Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting |
| title_full | Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting |
| title_fullStr | Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting |
| title_full_unstemmed | Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting |
| title_short | Clinical Outcomes of Laparoscopic Versus Open Appendectomy for Acute Appendicitis in a Resource-limited Setting |
| title_sort | clinical outcomes of laparoscopic versus open appendectomy for acute appendicitis in a resource limited setting |
| topic | acute appendicitis open appendectomy laparoscopic appendectomy complications. |
| url | https://www.annalsofafricansurgery.com/outcomes-lap-vs-open-appendectomy |
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