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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Open Vs. Laparoscopic Appendectomy in Obese Patients: An Outcome and Quality of Life observational study |
| Authors Name: | Dr. Megha Ankush Dhamale , DR. HARSHVARDHAN VEDPALSINGH TANWAR , DR. HEMANT MADHUKAR NAIK |
| Unique Id: | IJSDR2209096 |
| Published In: | Volume 7 Issue 9, September-2022 |
| Abstract: | Introduction: The gold standard in treating acute appendicitis is to perform an appendectomy. we conducted the present study with an aim of comparing the morbidity, duration of hospital stay, post operative complications, duration of surgery and post operative recovery of obese patients undergoing appendectomy via open and laparoscopic procedure. Materials and methods: The present prospective study was conducted in the department of surgery of tertiary care hospital in Maharashtra. The duration of the study was for 1 year [June 2021 to June 2022]. Before the start of the study, we took necessary permission from the institutional ethics committee. Informed consent was taken and strict confidentiality was maintained during the study period. Obese patients were divided into a laparoscopic group (LG) and an open group (OG). Patients aged 18-40 years with a BMI of 30 kg/m2 or greater and diagnosed with acute appendicitis by the ALVARDO score. Various intra operative parameters, post operative complications including mortality and quality of life were assessed in both the groups. Quality of life was assessed using SF-36 questionnaire. Results: The mean duration of laparoscopic group was 64.45 minutes and of open group it was 44.56 minutes and this difference was statistically significant. We found significant difference between the proportions of wound dehiscence, fistula and wound infection in both the groups. The overall quality of life was with average SF-36 score of 67 in laparoscopic group and score of 55 in open group and this difference was statistically significant. Conclusions: Operative time was significantly longer in lap group when compared to open group. We found significant difference between the proportions of wound dehiscence, fistula and wound infection in both the groups. Quality of life of patients undergoing laparoscopic technique was significantly better than open group. |
| Keywords: | Appendicitis; Quality of life; Obesity; Laparoscopic; Open technique |
| Cite Article: | "Open Vs. Laparoscopic Appendectomy in Obese Patients: An Outcome and Quality of Life observational study", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 9, page no.581 - 584, September-2022, Available :http://www.ijsdr.org/papers/IJSDR2209096.pdf |
| Downloads: | 000337067 |
| Publication Details: | Published Paper ID: IJSDR2209096 Registration ID:201734 Published In: Volume 7 Issue 9, September-2022 DOI (Digital Object Identifier): Page No: 581 - 584 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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