Early Post-Operative Outcomes in Closure and Non-Closure of Peritoneum in Open Appendicectomy for Uncomplicated...

Area of Science:

• Surgical Innovation
• Gastrointestinal Surgery
• Clinical Outcomes Research

Background:

• Open appendicectomy is a common procedure for acute appendicitis.
• Traditional peritoneal closure may prolong surgery and recovery.
• The impact of peritoneal closure versus non-closure requires further investigation.

Purpose of the Study:

• To compare early postoperative outcomes between peritoneal closure and non-closure in open appendicectomy.
• To evaluate the safety and efficacy of omitting peritoneal closure.

Main Methods:

• Prospective comparative study of 80 patients undergoing open appendicectomy.
• Patients divided into Group I (peritoneal closure) and Group II (peritoneal non-closure).
• Data analyzed using SPSS, with p<0.05 considered significant.

Main Results:

• No significant differences in wound infection or dehiscence rates between groups.
• Group II (non-closure) showed significantly lower postoperative pain (p<0.001).
• Group II also had reduced analgesic requirements (p<0.001) and shorter surgery duration (p<0.001).

Conclusions:

• Non-closure of the peritoneum in open appendicectomy is safe for uncomplicated appendicitis.
• Omitting peritoneal closure reduces operating time and postoperative pain.
• This technique enhances patient recovery without compromising outcomes.