A Comparitive Study of Mini-Appendectomy & Conventional-Appendectomy in Acute Appendicitis.

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Date
2012-10
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Abstract
The study was undertaken in an attempt to compare Mini-appendectomy with Conventional-appendectomy. 200 patients each in two groups were subjected to mini-appendectomy with 2-2.5 cm transverse incision (Group I) and conventional-appendectomy with standard Grid-Iron incision 6-8 cms (Group II). There were 92 males and 108 females in Group I whereas, 98 males and 102 females were subjected to conventional-appendectomy in Group II. Average age of patients in Group I was 22.3 years (5-65 yr) whereas, in Group II average age was 22.4 years (7-65 yr). Average weight of pts in Group I was 45.7 Kgs (20 kgs to 60 kgs) and 50.2 Kgs (24 kgs to 68 kgs) in Group II. Average time taken to complete surgery in Group I and Group II was 11.4 mt (11-35 mt) and 26.4 mt (25-45 mt) respectively. Average dose of analgesic used in Group I and II were 2.2 doses (2-4 doses) and 4.2 doses (4-8 doses) respectively. Post operative hospital stay in Group I was 2.14 days (2-5 days) and 4.34 days (4-11 days) in Group II. Time to return to work in Group I was 8.2 days (8-12 days) and 13.2 days (9-21 days) in Group II. There was no mortality and negligible morbidity in both the study groups. Mini-appendectomy has definite edge over conventional-appendectomy in terms of operation time, analgesics used, post-operative hospital stay, and return to work hence can be a safe alternative to conventional-appendectomy.
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Acute Appendicitis, Mini-Appendectomy, Conventional-Appendectomy, Rectus Muscle
Citation
Bhasin Sanjay K, Kumar Vijay, Mahajan Manoj, Kumar Raj. A Comparitive Study of Mini-Appendectomy & Conventional-Appendectomy in Acute Appendicitis. JK Science Journal of Medical Education and Research. 2012 Oct-Dec;14(4): 190-193