Open Vs. Laparoscopic Appendectomy in Obese Patients: An Outcome and Quality of Life observational study
Dr. Megha Ankush Dhamale
, DR. HARSHVARDHAN VEDPALSINGH TANWAR , DR. HEMANT MADHUKAR NAIK
Appendicitis; Quality of life; Obesity; Laparoscopic; Open technique
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.
"Open Vs. Laparoscopic Appendectomy in Obese Patients: An Outcome and Quality of Life observational study", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 9, page no.581 - 584, September-2022, Available :https://ijsdr.org/papers/IJSDR2209096.pdf
Volume 7
Issue 9,
September-2022
Pages : 581 - 584
Paper Reg. ID: IJSDR_201734
Published Paper Id: IJSDR2209096
Downloads: 000347242
Research Area: Medical Science
Country: AHMEDNAGAR, MAHARASHTRA, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
