A RESEARCH STUDY ON APPENDICECTOMIES AND REASON FOR CONVERSION OF LAPAROSCOPIC TO OPEN APPENDICECTOMIES IN A TERTIARY CARE HOSPITAL
Dr. P. Vinay* and Dr. K. Gowtham Reddy
ABSTRACT
Appendicitis is an inflammation of the appendix, Appendicitis causes pain in lower right abdomen. Cause of
Appendicitis isa Blockage in the lining of the appendix that results in infection is the likely cause of appendicitis.
The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated
promptly, the appendix can rupture. Open appendectomy is the traditional method and the standard treatment for
appendicitis. The surgeon makes an incision in the lower right abdomen, pulls the appendix through the incision,
ties it off at its base, and removes it. most laparoscopic appendectomies, surgeons operate through 3 small
incisions (each ¼ to ½ inch) while watching an enlarged image of the patient’s internal organs on a television
monitor. In some cases, one of the small openings may be lengthened to complete the procedure. Advantages of
laparoscopic appendectomy is Less post operative pain, short hospital stay, Quicker return to normal activity,
Better cosmetic results. Our study conducted in subjects admitted with diagnosis of appendicitis, who
subsequently underwent appendectomy at Department of General Surgery Rajiv Gandhi Institute of Medical
Sciences in study period between Jan 2011 and Dec 2015. This is a prospective descriptive analytical single centre
research study and in this all the cases of appendicitis are admitted in surgery department undergoing
appendectomy were studied, diagnosed and treated with surgical management (Laparoscopic or Open) during the
period of 5 years and 220 cases were studied. The results shown that the high incidence in the age group of 0-25
years have undergone the surgery and predominantly males compared to females. The type of appendectomy
performed more is laparoscopic (59.09%) due to few benefits over open-type surgery (28.18%) and with the
conversion rate (12.7%) lap to open appendectomy. The conversion of LA to OA is due to the dense adhesions due
to inflammation (42.28%) and generalized peritonitis(25%). Last we conclude that Laparoscopic Appendectomy
has emerged as the gold standard in the treatment of appendicitis. The overall frequency of conversion of LC to
OC was(12.7%) and reason for conversion is dense adhesions due to inflammation (42.28%) and
generalizedperitonitis(25%) and uncontrolled bleeding. high incidence of appendicitis in the age group of 0-25
years.
Keywords: appendix, Appendicitis causes.
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