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Year : 2013  |  Volume : 3  |  Issue : 1  |  Page : 39-42

Laparoscopic versus open appendectomy: A retrospective study in the Kingdom of Bahrain

Department of General Surgery, Bahrain Defense Force Hospital, Kingdom of Bahrain

Correspondence Address:
Nour Al Hoda Amiri
MBBCh, BAO Department of General Surgery, Bahrain Defence Force Hospital, Off Waly Alahed Avenue, P. O. Box - 28743, West Riffa
Kingdom of Bahrain
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.117124

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Background: Both open and laparoscopic appendectomies are commonly performed procedures. The aim of this study was to investigate the differences between open and laparoscopic appendectomy (LA) in the management of acute appendicitis. Patients and Methods: This study was conducted at Bahrain Defence Force Hospital in the Kingdom of Bahrain. A total of 106 patients who underwent appendectomies in the year 2009 were included in the study. A total of 71 patients had laparoscopic appendectomies, while the remaining 35 underwent open procedures. Clinical outcome measures were compared between the two groups with respect to six variables. Results: The study included 106 patients: 71 underwent LA while the remaining 35 underwent open appendectomy (OA). The operating time was shorter for the OA patients than for the LA patients (LA, 73.5 +/- 35 min vs. OA, 59.5 +/- 23 min; p value 0.033), which is statistically significant. The difference in hospital stay of 1.55 +/- 1.0 days for the LA group and 1.77 +/- 1.3 days for the OA group with P-value 0.323 was not statistically significant. Return to oral diet was the same in both groups with no statistical difference (LA, 14.4 +/- 7.6 h vs. OA, 15 +/- 7.9 h; p = 0.720), return to work (LA, 11 +/- 4.8 days vs. OA, 11+/- 4.1 days; p = 0.964). Although the rate for overall complications was lower in the LA group (2.8% vs. 5.7% in OA), it was not statistically significant (p value = 0.452). Conclusions: The overall results showed no significant difference between the laparoscopic and open appendectomies, except for the operating time that was significantly shorter in the OAs.

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