Comparison of Postoperative Wound Infection in Open versus Laparoscopic Appendicectomy Yousaf

Introduction: The value of laparoscopy in appendicitis is not established. Our aim was to compare the efficacy and benefits of laparoscopic versus open appendectomy in a prospective randomized controlled trial. Objective: To compare the efficacy of laparoscopic appendectomy and open appendectomy in the treatment of acute appendicitis in terms of post operative wound infection. MATERIAL AND METHODS: In this randomized trial patients were divided between two groups. Only patients with acutely inflamed appendix were included in this study. During their post operative time they were assesed for the development of wound infection in ward till second post operative day , then followed in OPD for assessment of SSI.Hence efficacy of the procedure determined by the patients who maximally determined SSI. Results: The mean age and gender in both the groups were insignificant with (P=0.077) and (P=0.3321) respectively. The overall rate of SSI in LA minimum (3% versus 11.68% in the laparoscopic and open groups Respectively),which was statistically significant(P=0.03) . There was some degree of pain perceived by patients in both the groups, in group LA 37 (48.05%) perceived pain of variable degree and in OA group 77(100%) perceived pain (P=0.001).