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Laparoscopic versus open appendectomy in females with a clinical diagnosis of appendicitis
Abdulrahman S Al-Mulhim1, Faisal M Al-Mulhim, Abdulmohsen A Al-Suwaiygh
1Department of Surgery, King Fahad Hospital, PO Box 1164, Hofuf, Al-Hassa 31982, Kingdom of Saudi Arabia. abdu3939@yahoo.com
Objective:
Appendectomy can be performed using either a laparoscopic technique (LT) or an open technique (OT). We compared the following items operative, anesthesia, length of stay, post-operative pain, medicine, wound healing, days to return to normal activity in both groups.
Methods:
This study was carried out at King Fahad Hospital, Hofuf, Al-Hassa, Kingdom of Saudi Arabia, from January 1999 to April 2000. We randomly assigned 60 female patients to appendectomy by LT or OT. The 2 groups were compared concerning demographic data. The differences were considered statistically significant at a P value < 0.05.
Results:
The open group had shorter anesthesia and operative time (68, 50 versus 85, 65 minutes). The laparoscopic group had a significant reduced postoperative narcotic requirement (P<0.05), quicker reintroduction of diet and quicker return to normal activity.
Conclusion:
Laparoscopic appendectomy in female patients with clinical diagnosis of appendicitis is the procedure of choice for the diagnosis and the management of acute appendicitis.
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