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.

Background: Acute appendicitisis a very common cause of acute abdomen requiring surgical intervention with an incidence of about 100 per 10000.
Material and methods: A retrospective analysis of medical data based records of 109 consecutive patients who were undergone surgery in department of general surgery in LN Medical College, Bhopal for the diagnosis of acute appendicitis from June 2019 to July 2021 was done. Data was collected from patient on the basis of age, sex , clinical diagnosis pre operative finding. Data was analyzed by using Microsoft excel and statistical package of social sciences (SPSS).
Results: In the present study 109 patients were included in which 60.55% were males and 39.44% were females. Maximum patients were in the age group of 21-30yrs (55.04%) followed by 31-40yrs(30.27%) and 41-50 yrs(14.67%). Migration of pain, RIF Tenderness, leucocytosis was found in 100% patients . Anorexia was found in 80.73% patients, nausea, rebound pain, elevated temperature was found in 75.22% patients respectively. Inflamed appendix was found in 100% patients, appendicular abscess was found in 17.43% patients, Appendicular Perforation was found in 20.18% patients, Faecolith with Inflamed Appendix was found in 15.59% patients. Open Appendicectomy was done in 60.55% patients  and Laparoscopic Appendicectomy was done in 39.44% patients. Maximum patients ie 44.95% were stayed for 4 days in the hospital.
Conclusion: The present study shows that acute appendicitis in India is a disease of young males. On further sub-classification of acute appendicitis, uncomplicated acute appendicitis seems to be the most common. Delayed presentation is associated with greater morbidity.