Early Post-Operative Outcome of Open and Laparoscopic Appendicectomy for Uncomplicated Acute Appendicitis

Abstract

Background: Although both open and laparoscopic techniques have been used for appendicectomies, opinions on which is better are divided. In light of this context and the fact that there are many studies comparing laparoscopic and open appendicectomies in third-world nations like Bangladesh, this prospective study will record crucial variables and parameters to compare the therapeutic benefits of both procedures in defense personnel.

Methods: This was a cross-sectional study. This study was conducted in the surgery department of Combined Military Hospital, Dhaka from 1st January 2022 to 31st December 2022. 99 patients were included in this study where 50 patients were treated with open appendicectomy and 49 patients were treated with laparoscopic appendicectomy. Results were evaluated within 180 days. Results were correlated with Patient’s Wound/port infection, Visual analogue score for pain daily till discharge, Hospital stay, Return to normal activity time, other complications.

Results: In the LA group, post-operative pain was mild (40%) but in the OA group, it was severe (38%) and moderate (34%). The open operation took longer (44.4 ± 20.3 min) than the laparoscopic technique (30.3 ± 12.4 min). It required less time (23.99 hours) to transition from parenteral to oral diet and medication following LA than it did during OA (39.38 hours). Compared to LA, OA patients experienced noticeably more postoperative problems. Compared to the LA group (3.45 ± 1.34 days; p = < 0.05), the OA group's hospital stay was longer (6.82 ± 0.749 days). Compared to OA (19.16  ± 6.96 days), LA recovered and resumed full normal activity earlier (16.10 ± 3.429 days) (p=< 0.05).

Conclusion: According to the results of this study comparing the early post-operative outcomes of open and laparoscopic appendicectomies, laparoscopic appendicectomies clearly outperform open appendicectomies in terms of early post-operative outcomes.

Bangladesh Armed Forces Med J Vol 58 No (2) December 2025, pp 38-43