WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Alaa Salim Dawood Alberta’s

ABSTRACT

Background: Appendicitis typically requires surgery to prevent rupture in the abdomen. Laparoscopic appendicectomy offers several benefits, including faster recovery time, less discomfort, improved cosmetic outcomes, shorter hospital stay, and lower risk of wound infection and postoperative morbidity. Objectives: Is to identify the safest and most successful appendectomy approach based on clinical outcomes. Methods: A cross-sectional study of recorded data from the department of general surgery at Hamdanyia General Hospital, from April 2024 to the end of April 2025. The study included 200 subjects diagnosed with acute appendicitis. 50 patients did laparoscopic appendicectomy and 150 did open appendicectomy. Patients having past laparotomy incisions or general anesthesia contraindications were excluded from the study. The questionnaire form consisted from four parts. Part one for demographic information of the study participants. Part two for patients’ preoperative information, while part three and part four for patients’ operative and postoperative details and complications respectively. Results: The mean age ± standard deviation of the study participants 27.08 ± 6.96 years. Moreover; male: female ratio was 1:64. Furthermore; there is no statistically significant difference between the study groups regarding their gender, ages, WBC counts, past medical history, appendicitis preoperative complexity, vomiting, pelvic abscess, port site infection, and pus drainage (P value > 0.05). On the other hand; there is statistically significant difference between the study groups regarding return to normal life, starting oral intake, hospital stay, starting bowel motion, operation time and wound infection (P value <0.05). Conclusion: Laparoscopic appendicectomy offers advantages over open appendicectomy. The advantages of this operation include a decreased risk of complications, faster return to regular activities, improved food tolerance, shorter hospital stay, faster resumption of bowel motions, and longer surgical time. Laparoscopy is the most efficient and safe a approach for appendicectomy, as long as the surgeons have the necessary skills and the surgical instruments are available.