EARLY COMPLICATION AND RE-ADMISSION AFTER LAPAROSCOPIC AND OPEN APPENDECTOMY

Document Type : Original Article

Authors

Kwaite University Hospital, Sana’a, Yemen

Abstract

Aim: There are minimal data available that compares the rate of wound infection, and re-admission after 
discharge of patients who undergone either laparoscopic appendectomy (LA) or open appendectomy (OA). 
Methods: We reviewed retrospectively 235 consecutive cases of patients who underwent laparoscopic and 
250 patient who had open appendectomy from January 2004 to March 2009 in the university hospital. Main 
outcome measures included post operative wound infection that necessitated draining of the wound or readmission for intra-abdominal collection, paralytic ileus or intestinal obstruction. 
Results: There were 9 patients in the open appendectomy group who were re-admitted to the hospital with 
wound infection and were managed by drainage of the wound , while in the Laparoscopic group there was 
no re admission due to infection.
Conclusion: LA is associated with no wound infection which necessitate re-admission or surgery. The 
length of hospital stay is the same if the wound infection is excluded from the open method. LA has lesser 
rate of wound infection and re-admission of patients. We recommend that LA to be the first choice offered 
for all patient with acute appendicitis.

Keywords

The Egyptian Journal of Surgery
Volume 29, Issue 4
October 2010
Pages 166-169

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