Background: One of the most prevalent reasons for emergency abdominal surgery is acute appendicitis. Surgical appendectomy, open or laparoscopic, is the preferred treatment choice. Since the emergence of the laparoscopic appendectomy, it's become an alternate approach to therapy for open appendectomy. Despite the fact that laparoscopic appendectomy (LA) is significantly more expensive than the open technique, many surgeons prefer it.
Objective: The purpose of this research was to compare standard 3-port laparoscopic appendectomy to open appendectomy in patients with obesity.
Patients and methods: Our research included 40 obese patients presented to emergency department with acute appendicitis in Al-Hussein University Hospital and Damanhour Medical National Institute. Patients were randomized by closed envelope technique into 2 groups: Group I who underwent standard 3 ports laparoscopic appendectomy, and Group II who underwent open appendectomy with classical grid iron incision at McBurney point.
Results: Operative time, total analgesic doses required, time to start oral feeding, postoperative hospital stay, and time to resume usual activities were all statistically significant differences between the two groups. The laparoscopic group had a shorter operational time than the open group, used fewer total analgesic doses, started oral feeding earlier, had a shorter hospital stay, and returned to regular activities sooner than the open group.
Conclusion: Laparoscopic appendectomy is a feasible and safe technique in the treatment of acute appendicitis in patients with obesity.