The surgical procedure of Appendectomy: Delivering Effective Relief from Appendicitis and explain the role of anesthesia
DOI:
https://doi.org/10.51699/ijhsms.v2i11.2993Keywords:
Laparoscopic appendectomy, Open appendectomy, VAS Scale, Appendicitis, and Post-operative complicationsAbstract
Background: Appendicectomy is a commonly performed surgical procedure in general surgery which involves the removal of the appendix with the aim of preventing complications arising from appendicitis. The procedure can be carried out using either the open or laparoscopic method and can be conducted under either general or regional anaesthesia. The objective of the study was to evaluate the surgical outcomes associated with effective surgical techniques in appendectomy under anaesthesia.
Methods: All clinical data for patients in Baghdad hospitals - Iraq was collected for a period between March 16, 2022, to August 25, 2023. The clinical data of the patients was divided into two groups, the first of which included laparoscopic appendectomy (74) patients and open appendectomy. This study compared patients in the two groups in terms of duration of surgery, length of hospital stays, postoperative pain and complications, and quality of life.
Results: The length of the surgical procedure played a critical role in the results achieved. The laparoscopic appendectomy had a mean duration of 53.66 ± 15.74 minutes, in contrast to the relatively shorter mean duration of 30.51 ± 12.82 minutes for open appendectomy. Clinical outcome analysis revealed that the laparoscopic appendectomy group experienced only four instances of blood loss, while the open appendectomy group had 8 cases. Hypertension was detected in two cases in the laparoscopic group and five cases in the open appendectomy group. The postoperative phase showed differences in the complication rate, with 15 cases in the laparoscopic appendectomy group and 25 in the open appendectomy group. The most encountered complications were wound infections, paralytic ileus, and vomiting. The pain scores of patients in the laparoscopic appendectomy group were found to be successful compared to the open appendectomy group over a period of 72 hours. The hospital stay duration for open appendectomy patients (2.5 ± 2.8) was longer than those who underwent laparoscopic appendectomy (1.7 ± 0.3).
Conclusion: The study found that laparoscopic appendectomy is the preferred surgical procedure for patients under general anesthesia due to its higher effectiveness, success rate, and safety compared to open appendectomy.
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