Outcomes of Laparoscopic Appendectomy; A Prospective Study Focusing On Gender Wise Comparison of Complications of the Surgery
Keywords:Appendectomy, appendicitis, pain, postoperative.
Objective: To assess the postoperative outcomes of laparoscopic appendectomy in terms of compli- cations and to compare them on gender basis.
Methods: This was the prospective observational study conducted at department of General Surgery Chandka Medical College Hospital Larkana with non-probability convenient sampling technique. The duration of study was one year from January 2013 till December 2013. 150 patients were selected that were diagnosed with acute appendicitis. Patients were followed up for 2 weeks and their compli- cations were observed. All data was entered and analysed on SPSS version 20. Inferential analysis was performed using chi-square test whereas the significance level was set at 0.05.
Results: The study results showed that 14 male (18.7%) and 16 female (21.4%) patients developed complications (p=0.094). 5 male (6.6%) and 8 female (10.6%) patients developed paralytic ileus (p=0.384). 5 male (6.6%) and 3 female (4%) patients developed urinary retention (p=0.471) whereas 2 male (2.6%) and 6 female (8%) patients complained to have wound infection (p=0.146). The overall frequency of patients that did not develop any complications among 150 patients was 121 (80.6%) while 13 (8.6%), 8 (5.3%) and 8 (5.3%) were reported to develop paralytic ileus, urinary retention and wound infection respectively.
Conclusion: Laproscopic appendectomy is safer and clinically advantageous technique. The differ- ence in the complications of the laproscopic appendectomy with respect to the gender was insignifi- cant. However, significant difference existed on visual analogue pain scale.