Laparoscopic Versus Open Appendectomy in Young Female Patients

Abstract

ppendectomy is the most common surgical procedure performed in general surgery. For almost a century, open appendectomy, first described by Charles McBurney in 1889, has remained the gold standard treatment for acute appendicitis. The introduction of laparoscopic surgery has dramatically changed the field of surgery and laparoscopic surgery has been widely used as a minimally invasive surgery. Laparoscopic appendectomy has emerged as a safe procedure with potential advantages including diagnostic and therapeutic values especially in the female in their reproductive age. This study was conducted to evaluate of the results of the laparoscopic versus open appendectomy in young females in regarding operative time, operative findings, post-operative complications, hospital stay, post-operative analgesia, return of the patients to their normal and the cost. The mean operating time in laparoscopic appendectomy was longer than that in the open approach (64.35 minutes in laparoscopic group versus 50.0 minutes in open group). The overall post-operative complications were different in the 2 group. The incidence of wound infection was less in laparoscopic group (5 % versus 10 %). The mean hospital stay