Writing Resources
LAPROSCOPIC APPENDECTOMY IN OBESE AN ATTRACTIVE OPTION Abstract Background Laparoscopic appendectomy is not yet unanimously considered the gold standard in the treatment of acute appendicitis because of its higher operative time and postoperative sequele as compared to open appendectomy However its role in overweight and obese patients should be revisited Objectives This study aimed to compare outcomes of laparoscopic and open appendectomy in obese patients in a Tertiary care hospital Methods This prospective study of 173 patients aged or 16 years BMI 30 who underwent standard laparoscopic appendectomy LA and open Appendectomy OA from January 2013 to December 2016 in tertiary care facility Patients age gender operative time OT postoperative pain return of bowel function intraabdominal abscesses wound sepsis and length of stay LOS were compared between two groups The test of significance used was the Chi square test for categorical variables and t test for quantitative variables Results Laparoscopic appendectomy was performed in 83 patients open appendectomy in 90 the mean operative time was less in the LA 52 min as compae to OA 67 min group The rate of intra abdominal abscess was more in OA 11 than LA group 3 Similarly the post operative ileus was less 12 in LA then Open appendectomy 20 Wound sepsis was observed more in OA 9 than LA
