Comparison of open and laparoscopic appendectomy
Adult patients with presumptive diagnosis of acute appendicitis were were operated by laparoscopic appendectomy or open appendectomy group during a three-year period (between 2007 and 2009).
Study Type
OBSERVATIONAL
Enrollment
100
The laparoscopic appendectomy was performed with three trocars. Pneumoperitoneum was created using an open Hasson technique. The mesoappendix was divided using a harmonic scalpel or endoscopic tissue fusion device. The appendix was divided by placing one endoscopic loop and cut with harmonic scalpel. The specimen was removed through the umbilical port.
The open appendectomy was carried out in the standard way with McBurney muscle splitting incision (in supine position).
Varazdin General Hospital
Varaždin, Croatia
Cost of hospitalization based on the final hospital bills
Time frame: from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days)
Analgesia demands
The number of doses of analgesics, and time from surgery to the last dose of analgesics.
Time frame: from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days)
Complications
No. of wound infection and intrabdominal abscesses.
Time frame: during first 4 weeks after the surgery
Length of hospital stay
No. of days from surgery to discharge of hospital
Time frame: from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days)
Time until resumption of clear liquid and regular diet
No. of days from surgery to the resumption of clear liquid and regular diet
Time frame: from the beginning of the surgery to the resumption (an expected average 2 days after the surgery)
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