title: Laparoscopic appendectomy versus open appendectomy in children.
abstract: This study compares the benefits, advantages and complications of laparoscopic Appendicectomy (LA) versus Open Appendectomy (OA) in children's in Dublin Ireland. Total 200 patients were studied. Hundred of LA and 100 for OA. Out of 100 LA 58 were male, 42 were female aged between 4-15 yr. and out of 100 OA 58 were male, 42 were female aged between 4-14 yr. The mean operative time of LA was 35.8 minutes and the Anaesthetic time was 46.6 minutes. Patients having LA had less post-op pain with early start of feed at 16.7 hrs, and had significantly less post-op hospital stay of 1.6 days. Post op complications rate was 3%. The patient started the normal life activities at 10.8th post op day. Wound infection rate was 3% with Re-admission rate of 2%. The mean operative time of OA was 45.66 minutes and the Anaesthetic time was 56.75 minutes. Patients having OA had post-op pain hospital stay of 2.55 days with start of feed at 24.7 hrs. Post op complications rate was 2%. The patient started the normal life activities at 15.78th post op day. Wound infection rate was 3% with Re-admission rate of 1%. Laparoscopic appendectomy is safe alternative to conventional open appendectomy, leading to early ambulation, decreased hospital stay, and better exploration of abdominal cavity.
authors.affiliation: Paediatric Surgical Department, Children's University Hospital, Temple street, Dublin. mkashifdr@yahoo.com
authors.forename: K
authors.initials: K
authors.lastname: Chauhan
authors.forename: S
authors.initials: S
authors.lastname: Kashif
authors.forename: S
authors.initials: S
authors.lastname: Awadalla
mesh_terms: D000293:Adolescent; D001062:Appendectomy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D007494:Ireland; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D010043:Outcome and Process Assessment, Health Care