Comparative Study Between Laparoscopic Versus Appendectomy in Obese Patients

Authors

  • Anupam Ranjan  Senior Resident, Department of General Surgery, ANMMCH, Gaya, Bihar, India
  • Sweta Rani Assistant Professor, Department of Obs & Gynae, ANMMCH, Gaya, Bihar, India
  • Sheto Sumi  Junior Resident, Department of General Surgery, ANMMCH, Gaya, Bihar, India
  • Shri Krishna Ranjan Associate Professor, Department of General Surgery, ANMMCH, Gaya, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i6.1259

Keywords:

Laparoscopic Appendectomy, Open Appendectomy, Obese Patients, Surgical Outcomes, Postoperative Complications

Abstract

Background: The two main surgical therapies for appendicitis are laparoscopic appendectomy (LA) and open appendectomy (OA). Appendicitis is a major surgical emergency. As obese individuals have a higher risk of surgical complications, choosing the best course of action is essential. In order to produce recommendations based on solid information, this study compares the results of LA versus OA in obese people.

Methods: Ninety patients with appendicitis with a BMI of 30 or more were randomised into two groups: the OA group, which included 45 individuals, and the LA group, which included 45 patients. SPSS Statistics Version 23.0 was used to gather and analyse data on demographics, postoperative complications, length of hospital stay, surgical time, pain levels, and recovery durations.

Results: In comparison to the OA group, the LA group experienced considerably shorter hospital stays (2.1 ± 0.7 days) and operative times (45.3 ± 10.1 minutes vs. 60.4 ± 12.3 minutes, p < 0.001). The LA group experienced less postoperative complications (11.1% vs. 26.7%, p = 0.04). The LA group also had reduced pain levels 24 hours after surgery (3.5 ± 1.4 vs. 5.6 ± 1.7, p < 0.001). Readmission rates and delayed complications were among the long-term outcomes that did not significantly differ across the groups.

Conclusion: When compared to OA, LA is linked to shorter operating and recovery periods, less pain during surgery, and fewer problems in obese patients. These results validate LA as the recommended surgical treatment for obesity-related appendicitis.

Recommendations: Due to its benefits in terms of efficiency and safety, LA ought to be the norm for treating appendicitis in obese patients. It is advised to perform more studies with larger sample sizes and longer follow-up times in order to validate these results and evaluate long-term effects.

Published

2024-06-30

How to Cite

Ranjan, A. ., Rani, S. ., Sumi, S. ., & Ranjan, . S. K. (2024). Comparative Study Between Laparoscopic Versus Appendectomy in Obese Patients. Student’s Journal of Health Research Africa, 5(6). https://doi.org/10.51168/sjhrafrica.v5i6.1259

Issue

Section

Section of Anesthesia and Surgery Research