Evaluation of Different Treatment Modalities of Acute Appendicitis

Acute appendicitis (AA) is the leading cause of surgical acute abdomen worldwide, with a prevalence of approximately 7% of the population. The present study was conducted to compare different treatment modalities of acute appendicitis. 102 cases of acute appendicitis undergoing appendectomy were divided into 2 groups of 51 each. Group I patients were managed with laparoscopy appendectomy and Group II patients were managed with open appendectomy. Symptoms and parameter such as requirement of oral feed started postoperatively, average hospital stay, wound abscess and wound infection were recorded. Group I had 31 males and 20 females and group II had 35 males and 16 females. Symptoms were fever in 22 in group I and 14 in group II, abdominal pain 48 in group I and 44 in group II and nausea/vomiting 31 in group I and 30 in group II. The mean hospital stay was 5.2 days in group I and 4.3 days in group II, wound abscess was seen in 2 in group I and 5 in group II and wound infection 3 in group I and 7 in group II and oral feed started postoperatively at mean of 5.4 days in group I and 3.2 days in group II. The difference was significant (P< 0.05). There were less complications and better outcome in laparoscopic appendectomy as compared to open appendectomy.