LAPAROSCOPIC APPENDECTOMY IN COMPARISON OF OPEN APPENDECTOMY WITH RESPECT TO SURGICAL SITE INFECTION

Introduction: Laparoscopic surgery has gained in popularity and found application in almost every surgical specialty. The management of many diseases has benefited from the application of the laparoscopic approach. Laparoscopic appendectomy is one such procedure increasing in popularity since initially reported by Semm in 1983. Aims and objectives: The basic aim of the study is to analyze laparoscopic appendectomy in comparison with open appendectomy with respect to surgical site infection. Material and methods: This cross-sectional study was conducted in Allama Iqbal Memorial Teaching Hospital, Sialkot during July 2019 to January 2020. This study includes 100 patients diagnosed as appendicitis and operated. Their mean age was 33.32 ± 20.80 years. OA was performed through right lower quadrant transverse muscle-splitting incision. The thread ties were placed on the base of the appendix. Results: Of these 100 patients, 85 had acute appendicitis and 15 appendices were perforated. There were 71 patients in the LA group and 20 in the OA group; however, 9 patients had a conversion to an open procedure. The overall SSI rate was not different between the two groups (2.8% for the OA group vs. 4.6% for the LA group, respectively, P=0.204), but the superficial SSI rate was significantly lower in the LA group (3.2% vs. 0.6%, P = 0.016). Conclusion: It is concluded that advantages of diagnostic laparoscopy in patients with abdominal pain, combined with the benefits of laparoscopic appendectomy, suggest that all patients with suspected appendicitis should be considered for laparoscopic appendectomy provided appropriately trained personnel and adequate equipment are available