Laparoscopic versus open approach in acute appendicitis

Jesús David Gomez Barrios 1, *, Hernando Enrique Thorné Vélez 1, Jonathan González Walles 2, Ana María Thorné Vélez 3, Natalia Peñaloza Barrios 4, Paula Andrea Arenas Ruiz 5, Jesús David Ramos Carvajal 4, Eduard Orlando Vargas Plazas 5, Ariel Ramón Díaz Ruiz 6, Daniel Jesús Villanueva Navarro 6 and Andrea Carolina Cruz Garcia 6

1 General Surgery Resident, Universidad Libre, Colombia.
2 General Physician, Universidad del Quindío, Colombia.
3 General Physician, Universidad del Sinù Elias Bechara Zainum, Colombia. 
4 General Physician, Universidad del Sinú, Cartagena, Colombia.
5 General Physician, Universidad Cooperativa de Colombia, Pasto, Colombia. 
6 General Physician, Universidad del Sinú, Colombia.
 
Review Article
World Journal of Advanced Research and Reviews, 2022, 14(02), 012–017
Article DOI: 10.30574/wjarr.2022.14.2.0364
 
Publication history: 
Received on 21 March 2022; revised on 26 April 2022; accepted on 28 April 2022
 
Abstract: 
Appendicitis is a pathology characterized by the obstruction of the lumen of the vermiform patient and is considered one of the first causes of acute abdomen that requires emergency surgery to avoid patient mortality, which is why two surgical management alternatives are used: open appendectomy and laparoscopic appendectomy. There are controversies about which is the best approach, but according to various studies it is reported that there is no significant evidence to say which is the best approach, however, it is also established that laparoscopy outperforms the open approach due to its better aesthetic result and less days of hospital stay in the postoperative period, there is less postoperative pain but greater surgical time and probability of residual abscesses in the laparoscopic group, with no difference in mortality in both groups, in addition to this it is reported that in patients approached by laparoscopy presenting a rapid return to daily activities and daily work, presenting a lower frequency of infections at the level of the surgical wound and also a lower rate of postoperative adhesions, with the consequent directly proportional decrease in postoperative complications such as, for example, occlusion by girlfriends and suture dehiscence’s.
 
Keywords: 
Appendectomy; Acute Appendicitis; Laparoscopic; Open Appendectomy
 
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Copyright information: 
Copyright © 2022 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0

 

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