Evaluation of the Clinico-Demographic and Early Postoperative Outcomes of Laparoscopic Appendectomy

Abstract

Introduction: Acute appendicitis is the most common cause of acute abdomen that requires emergency surgery. The life time incidence of acute appendicitis ranges between 7 and 9%. An appendectomy, either open (OA) or laparoscopic (LA), is a frequently performed surgical procedure for the treatment of acute appendicitis. This study aims to evaluate the clinico-demographic and early post-operative outcomes of laparoscopic appendectomy in terms of Length of Hospital stay (LOH), surgical site infections (SSI) and Post-operative pain.

Methodology: This study was done in Department of Surgery Western Regional Hospital, Pokhara Academy of Health Sciences after Institutional scientific and ethical clearance. It is a prospective hospital based cross sectional study conducted from March 2021 to March 2022 and included 105 patients. All cases were followed up for one month. LA was performed through a three ports technique. The clinical and demographic parameters and the early postoperative outcomes of the LA were evaluated. Statistical analysis were done using SPSS 25.

Result: A total of 105 cases were operated of which 54 were males and 51 were female with majority of patients of the age group 11-20 years. The average length of hospital stay was 2.30 ± 0.93 days, superficial surgical site/port site infection was 2.9% and no intra-abdominal abscess was noted.

Conclusion: Laparoscopic appendectomy is safe and effective in terms of reduction of the length of hospital stay (LOH), surgical site infections (SSI) and post-operative pain.