To Study Comparison between the Outcomes of Laparoscopic Appendectomy and Open Appendectomy in Terms of Post-Operative Pain

Abstract

Background & Methods: Laparoscopic appendectomy is safe and less post-operative pain and morbidity as compared to open appendectomy. Laparoscopic appendectomy is a useful procedure for reducing the hospital stay, return to work early, less complications encountered. The aim of the study is to study comparison between the outcomes of Laparoscopic appendectomy and Open appendectomy in terms of Post-operative pain. Intravenous fluid should be begun. Monitoring of urine output, blood pressure, pulse. Electrolyte abnormalities should be corrected. Antibiotics should be given before 30 minutes of induction of anaesthesia. Antibiotic should cover both gram negative bacteria and anaerobes.

Results: A higher proportion of patients who underwent Laparoscopy had no infection (97%), with only a small number (3 patients) developing an infection. In contrast, Open surgery had a lower percentage of patients without an infection (73%), and a notably higher number (27 patients) developed a wound infection. Level I: Both laparoscopic and open surgeries had 62 patients reporting no pain. Level II: In both surgeries, 38 patients reported mild pain.

Conclusion: After analysing the all the data’s, we found the difference between open and laparoscopic appendectomy. Laparoscopic appendectomy was better than open appendectomy in a properly prepared and selected patient in terms of Post-operative complications like nausea vomiting, wound infection, fever.