Abstract

With a 6% lifetime risk, appendicitis is one of the most frequent surgical emergencies requiring an appendectomy. For open appendectomy (OA), the overall death rate is about 0.3%, while the overall morbidity rate is roughly 11%. Compare the outcomes of the operations, perioperative and postoperative complications, hospital admission, and postoperative pain and nausea between laparoscopic and open appendectomy. The study included all patients between the ages of 13 and 60 who were hospitalized through the accident and emergency (A&E) department with a clinical diagnosis of acute appendicitis and those who finished follow-up. Any patients in whom an appendicle abscess or a palpable lump in the right lower quadrant has been suspected but no clinical diagnosis of acute appendicitis has been made, and people who refuse to consent are not included in the study. All patients who underwent a laparoscopic or open appendectomy had their medical records reviewed. In 93% of individuals with an appendicitis diagnosis, the Alvarado Score is more than 7. Eight patients in OA and one in LA, with rates of 1.5% and 0.2% respectively, experienced wound infection in nine patients (1.6%). The hematoma occurs in four individuals (0.8%), with three cases in OA and one in LA (with rates of 0.6% and 0.2%, respectively).Seven reported cases of appendectomy result in pelvic abscess (1.4%). (5 cases in OA and 2 cases in LA, respectively, with rates of 1% and 0.4%). The Alvarado Score is very important for diagnosing acute appendicitis. Less hematoma, wound infections, quicker healing, and earlier return to regular activity are benefits of laparoscopic appendectomy, however the procedure takes longer overall.

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