Single-incision Multiport Laparoscopic Appendectomy versus Conventional Laparoscopic Appendectomy: A Single-center Randomized Control Study

Background: Acute appendicitis is the most common surgical emergency and early surgical intervention improves outcome. Laparoscopic Appendectomy has become the mainstay of surgical management of appendicitis. Single incision surgery, a recent offshoot of Laparoscopy is slowly going momentum. Objective: This study aims to compare the standard conventional Laparoscopic Appendectomy with Single Incision Laparoscopy as regards pain, operating time, wound infection, scar satisfaction, postoperative hospital stay and time to return to work. Materials and Methods: A randomised control study was done by alternation with sample size of 100 which divided into two groups(study group 50 and control group 50). After obtaining consent, the patients are taken up for conventional laparoscopic or Single incision laparoscopic surgery surgery according to the randomization. Post operatively, the following parameter are monitored: Post operative pain, Duration of the procedure, Surgical site infection and Patient satisfaction regarding scar Results: In our study, there was no difference in the duration of surgery between the two groups. Pain scoring was higher in the conventional laparoscopy group at 6 and 12 hours after surgery. There was no significant difference in the infection rates between the two groups. Patient satisfaction regaring the scar was higher in the single incision group. There was no significant difference in the duration of hospital stay and time taken to return to work. Conclusion: With these above findings our conclusion is that the Single Incison Multiport Laparoscopic Appendectomy has as many benefits as Conventional Laparoscopic Appendectomy and can be treated as a safe and viable option for a patient with Appendicitis