Surgical site infection in Laparoscopic versus Open appendicectomy

  • Ashok Koirala Department of General and Minimally Invasive Surgery, NMCTH, Biratnagar
  • Dipendra Thakur Department of General and Minimally Invasive Surgery, NMCTH, Biratnagar
  • Sunit Agrawal Department of Surgery, B.P. Koirala Institute of Health Science, Dharan
  • Bhuwan Lal Chaudhary Department of General and Minimally Invasive Surgery, NMCTH, Biratnagar
  • Sagar Poudel Department of General and Minimally Invasive Surgery, NMCTH, Biratnagar
Keywords: Surgical site infections (SSI), Laparoscopic appendicectomy (LA), Open appendicectomy (OA)

Abstract

 Background: Acute appendicitis is very common surgical cause of acute abdomen and needs surgical removal either by laparoscopic or open appendicectomy. The aim of this study is to compare frequency of surgical site infection (SSI) in patients undergoing laparoscopic and open appendicectomy.

Materials and Methods: The study was prospective study conducted in NMCTH, Biratnagar. Total 200 patients with diagnosis of acute appendicitis admitted through the emergency department of our hospital were included in the study. The patients were randomly allocated in two groups: Laparoscopic appendicectomy group (LA) and Open appendicectomy group (OA). Both groups underwent successful emergency appendicectomy. Wound infections in terms of surgical site infection (SSI) if present were recorded. All age groups and both sexes were included.

 Results: Two hundred patients underwent appendicectomy, one hundred Laparoscopic appendicectomy (LA) and another hundred open appendicectomy (OA). The mean age of patients with acute appendicitis was 30.63±16.14 years with minimum of 6 years and maximum of 77 years. The highest number of patients were in age group of 10 to 20 years (29.5%). In LA group SSI noted in 3 patients (3%) whereas in OA group it was found in 12 patients (12%).

Conclusion: Laparoscopic appendicectomy is better and offers great advantages in terms of SSI as compared to Open appendicectomy.

 

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Abstract
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Published
2018-12-31
How to Cite
Koirala, A., Thakur, D., Agrawal, S., Chaudhary, B., & Poudel, S. (2018). Surgical site infection in Laparoscopic versus Open appendicectomy. Journal of Nobel Medical College, 7(2), 39-43. https://doi.org/10.3126/jonmc.v7i2.22306
Section
Original Articles