Conventional vs Laparoscopic Appendectomy in General Surgery Interns View PDF

^*Lucas Garcias
Medicine, Argentina

^*Corresponding Author:

Lucas Garcias
Medicine, Argentina
Email:lucasgarcias12@hotmail.com

Published on: 2023-11-10

Abstract

Background: Acute appendicitis (AA) is one of the most frequent conditions for consultation by the on-call service that requires surgical treatment, with an estimated incidence of between 6 and 8%.
Methods: Two groups made up of 25 randomly selected patients were created: G1 - Laparoscopic appendectomy (AL) and G2 - Conventional appendectomy (CA). We analyzed variables such as sex, age, operating time, postoperative pain, hospital stay, and postoperative complications.
Results: 53.2% of the patients were male and the remaining 46.8% were female, with a mean age of 31 years. The series yielded a general complication rate of 28% for G1 and 68% for G2.
Conclusion: What marks the evolution is not only the capacity of the acting resident, but also the condition of the organ and the patient’s own factors.

Keywords

Appendectomy; Laparoscopy; Conversion to open surgery

Introduction

Acute appendicitis (AA) is one of the most frequent conditions for consultation by the on-call service that requires surgical treatment, with an estimated incidence of between 6 and 8% [1]. In recent years, laparoscopic (LA) appendectomy has become the therapeutic approach in many hospitals [2]. However, there is limited information on the conventional versus laparoscopic approach performed by trainee surgeons. The safety of LA has been widely recognized and it has been shown to have advantages in terms of recovery, hospital stay, reduction of postoperative pain, surgical site infection (SSI), with better cosmetic results [1]. But at the same time, it requires skills and abilities that need to be acquired in order to develop safely.

Methodology

This study aims to compare the results of laparoscopic versus conventional appendectomies performed by general surgery residents at a training center. The medical records of patients operated on for AA from February 2021 to February 2022 at the National Hospital of Clinics, Córdoba, Argentina, were retrospectively reviewed.

Inclusion criteria

• Person over 18 (eighteen) years of age who underwent surgery for acute appendicitis, after signing an informed consent.

• Patient who has completed post-surgical control for six months.