Mohammad Adnan Nazeer, Mansab Ali, Rizwan Saleem, Zain Noor Ahmed, Khalil Ahmed.
An Audit of Emergency Laparoscopic Appendicectomy at a Tertiary Care Hospital.
Pak J Med Health Sci Jan ;6(4):856-9.
Objective: To audit our surgical practice of emergency laparoscopic appendectomy in accordance to the 2005 clinical guidelines formulated by the Royal College of Surgeons in Ireland for acute appendicitis. Methods: Clinical data was collected for all patients who underwent open and laparoscopic appendectomy for uncomplicated appendicitis between February 2010 to December 2010 at Doctors hospital Lahore by manually searching all operative and pathology records retrospectively. Results: A total number of 130 patients were analyzed, 65 who had their appendix removed by laparoscopic method and 65 who had open appendicectomy. Frequency of wound infection with laparoscopic appendectomy was (2%) as compared to (6%) open appendectomy. Intra abdominal infections were less in laparoscopic appendectomy along with less hospital stay along with early return of bowel functions. Operative time was almost equivalent in both types of surgeries. Post op requirement of analgesia was less in Laparoscopic appendectomy. Conclusion: Our department emergency appendectomy practices were found to be compliant with the set clinical guidelines of Royal College of surgeons of Ireland. Our audit clearly demonstrates that laparoscopic appendectomy is superior to open method.
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