A COMPARATIVE STUDY BETWEEN SINGLE INCISION MULTIPORT LAPAROSCOPIC APPENDICECTOMY AND CONVENTIONAL LAPAROSCOPIC APPENDECTOMY.

Corresponding Author:
Dr. Karunamoorthy Rajachidambaram,
93G/5A, Chidambaram Nagar,
Near New Bus Stand,
Perambalur-621212.
E-mail: drkrajachidambaram@gmail.com

ABSTRACT

BACKGROUND

This is a comparative study between single incision multiport and conventional laparoscopy with triport in appendectomy.

OBJECTIVES

The objectives of this study were to compare procedures duration, postop recovery time, pain, complications, cosmesis.

PLACE OF STUDY

Department of General Surgery, Chennai Medical College Hospital and Research Centre, Irungalur, Trichy.

METHOD OF COLLECTING DATA

A randomised control study was done by alternation with sample size of 50, which divided into two groups (Study group 25 and control group 25) and study period is from April 2012 to September 2014.

INCLUSION CRITERIA

All patients with acute appendicitis diagnosed on basis of Clinical Examination, Radiological Correlation and Leucocytosis, presenting above the age of 18.

EXCLUSION CRITERIA

Patient with Phlegmon, Mass, Peri-Appendicular Abscess, Diffuse Peritonitis, Age <18, Pregnancy.

RESULT

Among 62 patients, a randomized control study of 50 patients who were divided into two groups (Study group 25 and control group 25). The study was done based on the monitoring parameters like,

1. Post-operative pain after 6 hours, 12 hours and 24 hours.
2. Duration of the procedure.
3. Surgical site infection.
4. Patient satisfaction regarding the scar.

CONCLUSION

Patient in single incision laparoscopy group show less post-operative pain in the first 6 and 12 hours compared to the conventional laparoscopy group, but no difference was noticed between the two groups after 24 hours.

No significant difference in operating times was noted between the procedures. One patient in 25 who underwent single incision laparoscopy had wound infection, but no wound complications were noted in the conventional appendicectomy group. Patients who underwent single incision laparoscopy are happier with scar when compared with conventional laparoscopy group. No difference noted in the duration of post-operative hospital stay.

KEYWORDS

Single Incision, Laparoscopic Appendicectomy, Multiport, Appendicitis, Appendectomy, Conventional Laparoscopy.