الفهرس 
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Abstract
Within the last decade, the laparoscopic appendectomy has
gained popularity. During laparoscopic appendectomy, any other
pathology that comes to view could be diagnosed rather easier and
dealt with in the same time. The decision as to which of these two
techniques to employ is usually based on the surgeon’s preference
rather than on knowledge of the advantage of each.
Forty patients with suspected complicated acute appendicitis
were admitted to ER in the Menofia University &Shebein El Kom
Teaching Hospital .All were randomly submitted to open or
laparoscopic appendectomies.
They were randomized in two groups
group A: including (20) patients for whom laparoscopic
appendectomy was done
group B: including (20) for whom open appendectomy was done.
The study was conducted after receiving approval from the
local ethics committee and informed consent from the patients to be
included in the study.
We conducted a prospective study comparing differences
between patients undergoing laparoscopic and open appendectomy as
regard:
Operative time: The time from the incision time till closure of the
port site or the wound.
Intra-operative complication.
Early post-operative complications.
Drain insertion.
Time of oral intake.
Length of hospital stay, time from the surgery till the discharge
calculated in days.
The aim of this study was thus to ascertain whether differences
exist between laparoscopic appendectomy and open appendectomy
techniques so that an evidence-based decision could be made.
A prospective study was conducted on forty patients who
underwent either laparoscopic appendectomy procedure (20patients),
or open appendectomy (20patients), all at Menoufiya University
Hospital.
A determination of which of the two techniques employed was
chosen randomly. In laparoscopic appendectomy the monopolar
diathermy was used to divide the mesoappendix and controlling the
appendicular artery then the base was cut between two ligatures
whether by endoloops or intracorporeal suture.
Comparing laparoscopic appendectomy and open
appendectomy resulted in significantly less surgical time for
laparoscopic appendectomy. Also laparoscopic appendectomy has the
advantage of producing less intraoperative and early post-operative
complications time, shorter post-operative ileus, and shorter hospital
stay.