Original Research Article
Year: 2018 | Month: May | Volume: 5 | Issue: 5 | Pages: 169-172
Laparoscopic Appendicectomy in Common Surgical Practice and Our Experience in a Tertiary Level Hospital in Bangladesh
Dr. Sheikh Zahid Boksh1, Dr. Faruquzzaman2
1Associate Professor, Department of paediatric Surgery, Sir Salimullah Medical College, Mitford Hospital, Dhaka, Bangladesh,
2MRCS (Eden), MS (General Surgery-BIRDEM General Hospital, Dhaka, Bangladesh), OSD DGHS, Dhaka, Bangladesh.
Corresponding Author: Sheikh Zahid Boksh
ABSTRACT
Background: In the very recent years, laparoscopic appendectomy is widely accepted for the surgical procedure of acute appendicitis. It is not clear whether laparoscopic appendectomy is more appropriate in terms of complications, post-surgical pain, conversion rate and duration of hospital staying. Though, the application of laparoscopic technique for appendicectomy is expanding very rapidly and now performed in almost all major cities and tertiary level hospitals in our country, but in our surgical practice, the reports are scanty and conflicting.
Objective: To assess the operative profile of laparoscopic appendicectomy in common surgical setup.
Methodology: 93 patients of laparoscopic appendicectomy for clinically diagnosed acute appendicitis were included in this prospective study on the basis of convenient purposive sampling from a period of 01.04.16 to 30.08.17 in BIRDEM General Hospital, Dhaka, Bangladesh.
Result: The results of this study suggest that 65.6% cases were male and 34.4% patients were female. In male group, most of the patients (40.9%) were in 20-30 years of age group, whereas among the female patients it was 22.6%. Out of total 93 clinically diagnosed cases of acute appendicitis, the prevalence rates of negative laparoscopy and open conversion were 6.5% and 9.7% respectively. Average pain following appendicectomy falls gradually and after 24 to 36 hours, it is usually below 2 using pain scale. In this study, bleeding from port site was the most frequently observed complication (4.3%) and the prevalence rate of port site infection was 2.1%. Visceral bleeding & injury, subcutaneous emphysema, mortality rate were found to be nil. And approximately 87.1% patients were discharged following laparoscopic appendicectomy within 72 hours.
Conclusion: Laparoscopic appendicectomy is a relatively safe and resilient procedure for acute appendicitis in terms of operative complications, postoperative pain, conversion rate and duration of hospital staying.
Key words: Laparoscopic appendicectomy, outcomes, complications, open conversion rate, postoperative pain, duration of hospital staying, negative laparoscopy.
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