European Journal of Molecular & Clinical Medicine

Appendicitis is a most common surgical condition encountered by the most of the surgeons all over the world.  laparoscopic appendicectomy is the preferred surgical procedure in emergency and elective appendicitis cases now a days.
Aim: The aim of the study is to show the advantages of laparoscopic appendicectomy over conventional open appendicectomy
Materials and methods: This was a prospective study that was carried out from june 2021  to  may 2022 in Belagavi Institute Of Medical Sciences Belgavi IN District Hospital Belgavi. A total of 100 patients were studied, Cases were randomly selected for laparoscopic and open appendicectomy after routine blood investigations, ultrasonography of the abdomen and pelvis, chest x ray, ecg. and the results obtained were tabulated. The statistics were analyzed using SPSS package 16.0. Ethical clearance was obtained from the institutional ethics committee.
Results: Most of patients operated laparoscopically had short hospital stay, less pain and early recovery Wound infection was seen commonly in open surgeries 

Introduction: Acute appendicitis is one of the commonest causes of acute abdomen encountered in surgical practice, requiring emergency surgery. Open appendicectomy by Grid Iron incision had been gold standard for many years. Laparoscopic technique provided an opportunity to explore new method of management of the suspected cases of the acute appendicitis.

Laparoscopy has revolutionised surgery and management of the patient with marked decrease in morbidity and post-operative complications. Initially, these procedures were done using only General Anaesthesia. However, now with the introduction of Spinal anaesthesia and after learning its advantages, surgeons are slowly beginning to gravitate towards this mode of anaesthesia. Sixty three patients who were admitted in the hospital for appendicitis participated in this Randomized controlled trial conducted in a tertiary care hospital in India. Thirty three patients were randomly included in Group A (undergoing laparoscopic surgery under Spinal Anaesthesia) and thirty patients in Group B (undergoing laparoscopic surgery under General Anaesthesia). The mean values of Systolic and diastolic pressure was found to be significantly higher in patients who were administered General anaesthesia and no change in the respiratory functions was observed following administration of either Spinal or General anaesthesia. Laparoscopic surgery under Spinal anaesthesia is a viable and safe alternative as compared to General anaesthesia. The recovery rates and the satisfaction reported by patients is also better. Spinal anaesthesia also helps in maintaining better haemodynamic stabilization.