Laparoscopic approach is superior to open appendectomy (OA) in terms of postoperative wound infections, analgesia requirement, hospital length of stay (LOS), return to figure , and overall recovery. With the accumulated experience in simple appendicitis, LA has been attempted more frequently for treating perforated appendicitis. In our retrospective, comparative study, 91 of 99 patients with perforated appendicitis were treated successfully by LA, and therefore the wound infection rate (15.2%) was less than that of the OA group (30.7%). Similar favorable outcomes in terms of LOS, antibiotic usage, return of oral intake, and rate of wound infection of los angeles than OA for patients with perforated appendicitis were shown, too. However, the upper incidence of intra-abdominal abscess (IAA) formation following the uses of laparoscopy for perforated appendicitis were reported which remained a serious concern in using LA for perforated appendicitis.
Compared to OA, the beneficial role of los angeles for perforated appendicitis remains controversial. This literature review summarized the past and therefore the current status on the effectiveness and outcomes of los angeles in compared to OA for perforated appendicitis.
The appendix is a narrow, small, finger-shaped portion of the large intestine that is generally situated near junction of small and large intestine (Cecum) on lower right side of the abdomen.
Appendicitis is a sudden inflammation of the appendix. Although the appendix does not seem to serve any purpose, it can become diseased and, if untreated, can burst, causing infection and could be even fatal.