Vipin Chandra Sham Mundhada
Associate Professor, Department of General Surgery, Shri Shankaracharya Institute of Medical Sciences, Bhillai
Abstract
Background: Appendectomy remains the standard treatment for acute appendicitis. With advances in surgical techniques, different approaches such as conventional laparoscopic appendectomy (CLA) and double incision three-port appendectomy (DITPA) have emerged, each with its own advantages and disadvantages.
Aim: To compare the outcomes of conventional laparoscopic appendectomy and double incision three-port appendectomy in patients undergoing surgery for acute appendicitis.Methods: This prospective study involved 120 patients diagnosed with acute appendicitis, randomly assigned to undergo CLA or DITPA. Inclusion criteria comprised patients aged 18-65 years with a confirmed diagnosis of appendicitis. Exclusion criteria included patients with complicated appendicitis, previous abdominal surgery, or contraindications for laparoscopic procedures. Surgical outcomes were measured, including operative time, postoperative pain, length of hospital stay, and complication rates.
Results: The CLA group demonstrated shorter operative times and lower pain scores at 24 hours post-surgery. However, the DITPA group had a shorter recovery time and similar complication rates compared to CLA.Conclusion: Both surgical techniques are effective; however, CLA may offer advantages in terms of operative time and immediate postoperative comfort, while DITPA may facilitate quicker recovery. Keywords: Laparoscopic appendectomy, Double incision three-port appendectomy, Acute appendicitis, Surgical outcomes, Comparative study.