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Laparoscopic appendectomy in a Nigerian teaching hospital
Adewale O Adisa1, Olusegun I Alatise, Olukayode A Arowolo
1Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria. wadisc@yahoo.com
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 15, 2013
Summary
Laparoscopic appendectomy in developing countries offers benefits like reduced hospital stays and fewer wound infections. This approach is particularly recommended for young women, enhancing early outcomes for acute appendicitis.
Area of Science:
- Surgical Innovation
- Global Health
- Minimally Invasive Surgery
Background:
- Laparoscopic appendectomy's role in resource-limited settings remains debated.
- Acute appendicitis management requires careful consideration of patient outcomes and resource allocation.
Purpose of the Study:
- To evaluate the early outcomes of laparoscopic appendectomy (LA) compared to open appendectomy (OA) in a developing country.
- To assess the feasibility and impact of LA in a low-resource environment.
Main Methods:
- A retrospective study of 139 patients with acute appendicitis at a Nigerian teaching hospital.
- Comparison of outcomes between patients undergoing LA (n=33) and OA (n=83).
Main Results:
- Laparoscopic appendectomy (LA) resulted in shorter postoperative hospital stays (1.8 vs 3.0 days) and lower wound infection rates (6.5% vs 9.6%) compared to open appendectomy (OA).
- The mean operative time for LA was longer than OA (56.2 vs 38.9 minutes).
- Diagnostic laparoscopy identified normal appendices in 10.8% of cases, avoiding unnecessary appendectomies.
Conclusions:
- Laparoscopic appendectomy is associated with improved early outcomes, including reduced hospital stay and infection rates, in developing countries.
- Increased adoption of laparoscopy, especially for young women, is advocated to improve patient care and reduce surgical ward burden.
