Laparoscopic versus open appendicectomy - A prospective comparative study of 100 patients

Objective: to compare open and laparoscopic appendicectomy and to evaluate the level of efficacy of both in light of patient welfare and management with less postop complications and hospital stay. methods: for this method,100 consecutive patients with diagnosis of acute appendicitis were selected (50 patients of open and 50 of laparoscopic appendicectomy). only adult patient (15-58yr) and with no co morbidity were selected to further reduce the chances of post op complications. in addition,to reduce any discrepancy in surgical expertise/ method,cases done by same surgeon were selected. incidence of wound infection with laparoscopic appendicectomy was (2%) as compared to (6%) open appendicectomy. intra abdominal infections were less in laparoscopic appendicectomy 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 appendicectomy. conclusion: laparoscopic appendicectomy is a better and safe option as compared to open appendicectomy. it significantly reduces post op complications with less hospital stay eventually helping in cost management with early mobility of the patient.