A CASE CONTROL STUDY ON CLINICAL COMPARISON OF LAPAROSCOPY VS OPEN SURGERY IN ACUTE ABDOMEN

Raj Omprakash, Dhruve Sumit

Abstract


Introduction: To compare open laprotomy and Laparoscopic procedure and to evaluate the level of efficacy of both in light of patient welfare and management with less perioperative complications and hospital stay. This study was aimed to clinical comparison in acute abdomen.

 

Methods: This study was hospital based comparative case control study, includes 50 cases of acute abdomen of Pt JNM Medical College and DR.B.R.A.M. Hospital Raipur (C.G.) in year 2007 to 2008.In out of 50 cases, laparoscopy was performed in 25 cases & rest of the 25 cases was treated without laparoscopy.

Result: In the study group experienced less operating time (P < 0.05). The average hospital stay (P < 0.001) and the occurrence of post operative complication rate was low in the study group (P <0.05)

 

Conclusions: Laparoscopic procedure is safe. It significantly reduces post op complications with less hospital stay with early mobility of the patient.

 


Keywords


Acute abdomen, Laparoscopic surgery, open surgery, laprotomy.

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References


Cuesta MA, Eijsbouts QA, Gordijn RV, Borgstein PJ, De Jong D. Diagnostic laparoscopy in patients with an acute abdomen of uncertain etiology. Surgical endoscopy. 1998 Jul 1;12(7):915-7.

Gadacz TR. Update on laparoscopic cholecystectomy, including a clinical pathway. Surgical Clinics of North America. 2000 Aug 1;80(4):1127-50.

Filshie M. Laparoscopic sterilization. InSeminars in laparoscopic surgery 1999 Jun (Vol. 6, No. 2, pp. 112-117). Sage CA: Thousand Oaks, CA: Sage Publications.

Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. Bmj. 2005 Jun 23;330(7506):1478.

Kienle P, Weitz J, Koch M, Büchler MW. Laparoscopic surgery for colorectal cancer. Colorectal Disease. 2006 Sep;8:33-6.

Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, Grassi GB. Evidence-based appraisal of antireflux fundoplication. Annals of surgery. 2004 Mar;239(3):325.

Avital S, Zundel N, Szomstein S, Rosenthal R. Laparoscopic transhiatalesophagectomy for esophageal cancer. The American journal of surgery. 2005 Jul 1;190(1):69-74.

Berci G, Sackier JM, Paz-Partlow M. Emergency laparoscopy. The American journal of surgery. 1991 Mar 1;161(3):332-5.

Valla JS, Limonne B, Valla V, Montupet P, Daoud N, Grinda A, Chavrier Y. Laparoscopic appendectomy in children: report of 465 cases. Surgical laparoscopy & endoscopy. 1991 Sep;1(3):166-72.

Goettler CE, Bard MR, Toschlog EA. Laparoscopy in trauma. Current surgery. 2004;6(61):554-9.

Kirshtein B, Bayme M, Mayer T, Lantsberg L, Avinoach E, Mizrahi S. Laparoscopic treatment of gastroduodenal perforations: comparison with conventional surgery. Surgical Endoscopy and Other Interventional Techniques. 2005 Nov 1;19(11):1487-90.

Mori T, Abe N, Sugiyama M, Atomi Y. Laparoscopic pancreatic surgery. Journal of Hepato‐Biliary‐Pancreatic Surgery. 2005 Dec 1;12(6):451-5.

Cuesta MA, Eijsbouts QA, Gordijn RV, Borgstein PJ, De Jong D. Diagnostic laparoscopy in patients with an acute abdomen of uncertain etiology. Surgical endoscopy. 1998 Jul 1;12(7):915-7.


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