Jahangir Sarwar Khan, Hamid Hassan, Umar Farooq.
Appendicectomy; laparoscopic vs open.
Professional Med J Jan ;19(1):01-5.

Objective: The objective of this study was to compare length of hospital stay, pain scores and the rate of wound infections between laparoscopic and open appendectomy. Design: Randomized Controlled trial. Place and Duration of study: This study was conducted in surgical unit I Holy Family hospital, Rawalpindi from 1st June 2009 to 31st May 2010. Patients and methods: The patients were divided into open and laparoscopy groups and their age, sex, time of discharge, pain scores and wound infection rates were compared and analyzed. Results: Total of 160 patients were included in the study, 80 in each group. There were 58% male and 42% female patients. Mean age was 22.78 years (±6.2).Post operative pain scores were significantly less in the laparoscopic group (p<0.05). The length of hospital stay in open group was 35.10 hrs (±5.4) hours and in the laparoscopic group was 38.70(4.8) hrs with a p value of 0.592.Wound infection was 0.037% in open and 0.025% in the laparoscopic group. Conclusions: Laparoscopic appendectomy is superior in terms of less morbidity and shorter post operative hospital stay in the setting of an overworked tertiary care surgical floor of a Pakistani hospital.

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