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Interval Laparoscopic Appendectomy: An Observational Study from a Tertiary Care Centre of a Developing Nation

Varun Dogra, Umar Younus, Ishfaq Ahmad Gilkar, Silvi Sandhu


Background: Laparoscopic surgery requires an elaborate console and sophisticated laparoscopic instruments such as endoscopic stapler, endoscopic clip, Ligasure, and Harmonic scalpel which attribute to higher cost of surgery. The aim of this prospective observational study was to evaluate the safety profile and outcome of Laparoscopic Appendectomy using basic laparoscopic instruments and low-cost suture materials in a tertiary care hospital of a developing nation. Materials and Methods: This was an observational prospective study that was done in Department of Surgery, Government Medical College, Jammu for a period of three years. After applying the exclusion criteria, 50 consecutive patients were enrolled in this study. After all the baseline investigations and adequate imaging, patients were subjected to laparoscopic appendectomy. Various parameters were documented, and data analysed. Result and Discussion: Majority of the patients belonged to 3rd and 4th decade of life. Mean operating time was 51 minutes with a standard deviation of ± 6.4 minutes. In this study, 29 patients had post-operative hospital stay of less than 2 days, 19 patients had a post-operative stay of greater than 2 days while 2 patients had an hospital stay of more than one week. Post-appendectomy, 8 patients developed complications in form of port site sepsis, fever, and localised abscess formation. All such complications were taken care of with conservative means. Conclusion: Even with limited setup, laparoscopic appendectomy in the hands of an expert is a safe and feasible. The cost of a laparoscopic appendectomy can be substantially reduced using reusable items instead of disposable ones without compromising the safety of the patient.


Open Appendectomy, Laparoscopic Appendectomy, Emergency Procedure

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Addiss DG, Shaffer N, Fowler BS, et al. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990; 132 (5): 910–25.

Gomes CA, Sartelli M, Di Saverio S, et al. Acute appendicitis: proposal of a new comprehensive grading system based on clinical, imaging and laparoscopic findings. World J Emerg Surg 2015; 10: 60.

Thomas Jaschinski, et al. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2018:11(11):CD001546.

Gignoux B, Blanchet M-C, Lanz T, et al. Should ambulatory appendectomy become the standard treatment for acute appendicitis? World J Emerg Surg 2018; 13: 28.

Southgate E, Vousden N, Karthikesalingam A, et al. Laparoscopic vs open appendectomy in older patients. Arch Surg 2012; 147 (6): 557–62.

Lasek A, Pędziwiatr M, Wysocki M, et al. Risk factors for intraabdominal abscess formation after laparoscopic appendectomy–results from the Pol-LA (Polish Laparoscopic Appendectomy) multicenter large cohort study. Wideochir Inne Tech Maloinwazyjne. 2019 Jan; 14 (1): 70–78.

Krisher SL, Browne A, Dibbins A, Tkacz N, Curci M. Intra-abdominal abscess after laparoscopic appendectomy for perforated appendicitis. Archiv Surg. 2001; 136 (4): 438–41.

Sporn E, Petroski GF, Mancini GJ, Astudillo JA, Miedema BW, Thaler K. Laparoscopic appendectomy is it worth the cost? Trend analysis in the US from 2000 to 2005. J Am Coll Surg. 2009; 208 (2): 179–85.

Luks FI, Logan J, Breuer CK, Kurkchubasche AG, Wesselhoeft CW Jr, Tracy TF Jr. Cost-effectiveness of laparoscopy in children. Arch Pediatr Adolesc Med. 1999; 153 (9): 965–8.

Yang HR, Wang YC, Chung PK, Jeng LB, Chen RJ. Laparoscopic appendectomy using the LigaSure™ vessel sealing system. J Laparoendoscopic Advan Surg Tech. 2005; 15 (4): 353–6.

Ahmed HV, Mushtaque M. Laparoscopic appendectomy for acute appendicitis: an observational study from a peripheral hospital with limited facilities in Kashmir, India. Int Surg J 2020; 7 (3): 717–20.


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