Laparoscopic Management of Complicated Appendictis

Abstract

AIMS The aims of this study are to evaluate the effectiveness, feasibility and safety of Laparoscopy for
managing complicated appendicitis and to look for postoperative complications as well as morbidity, in a tertiary
care hospital.
OBJECTIVES
To study the Laparoscopic Appendicectomy in cases of Complicated Appendicitis with respect to:
1. Mean duration of the surgical procedure.
2. Number of days of antibiotics given, post operatively.
3. Post -operative day-start of oral feeds.
4. The incidence of Postoperative morbidity.
5. Analgesics required.
MATERIALS AND METHODS
This prospective study was conducted in a tertiary care hospital at Ahmedabad on 50 patients who underwent
Laparoscopic appendicectomy between June 2022 to March 2023
CONCLUSION
Our study has shown results encouraging the use of laparoscopic appendicectomy in cases of complicated
appendicitis, having found less post- operative morbidity along with early start of post-operative oral feeds and
decrease requirement of post-op antibiotics.
Although the laparoscopic method can be technically challenging, but the results have demonstrated its
feasibility and safety.
Although the number of patients enrolled in this study is far too small, preliminary results show that our
experiences with Laparoscopic appendicectomy in Complicated Appendicitis has been encouraging, although
technically demanding, but with proper surgical technique, it can be done without much of post-op complication.
As laparoscopic approach is having less morbidity in our study, we recommend the use of laparoscopy even
with complicated appendicitis.