Abstract

Since a long time ago, patients with noncomplicated appendicitis and those with a healthy body mass index have benefited most from our clinic's mini-incision appendectomy procedures. Even while laparoscopy has clear advantages, particularly for obese patients and young women, mini-incision appendectomy appears to be an option for some patient groups, according to the findings of our study. The study's goal is to assess the viability, usefulness, and benefits of performing a minimally invasive single-stitched, non-laparoscopic appendectomy on patients with acute appendicitis in a Teaching hospital. Methods: The study was conducted in the Department of General Surgery, RIMS, Adilabad, and a single surgeon conducted the surgery and follow-up in all cases. Establishing certain standards for the situations that will be chosen using this method (Single Stitch Non-Laparoscopic Technique-SSNLT). To contrast this method's benefits with those of traditional laparoscopy. A total of n= 100 cases with an acute appendicitis diagnosis that were hospitalized at RIMS Hospital, Adilabad were chosen for this study. Spinal anesthesia was used throughout every procedure in these instances. Results: One stitch was all that was required in each of the n=100 instances to close the abdomen. Considering that the inclusion criteria were completely adhered to, no incision extension was necessary. Other than two occurrences of wound infection, there were no severe postoperative problems. Early ambulation, shorter hospital stays, fewer painkillers, and a wound with aesthetic results comparable to a laparoscopic appendectomy. 9.3 out of 10 (O = low satisfaction, 10 = exceptional satisfaction) was an almost perfect patient satisfaction score. Other than wound infection in two cases out of 100 and a two-day post-operative stay, there were no problems or post-operative death. Conclusion: There was no appreciable difference between the method and regard to post-operative discomfort, perioperative complications, or patient satisfaction. Hence in hospitals where there is typically a shortage of advanced technology, one-stitch non-laparoscopic appendectomy is a safe and beneficial procedure for conducting appendectomy

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