SHORT - TERM OUTCOME OF LAPAROSCOPIC APPENDECTOMY VERSUS OPEN APPENDECTOMY IN FEMALES IN CHILD - BEARING PERIOD

This study was conducted to evaluate the results of the laparoscopic versus open appendectomy in females in childbearing period regarding operative time, operative findings, post-operative complications, hospital stay, post-operative analgesia as well as return of the patients to their normal activity. Aim of this study was to detect the suitability and benefit of either laparoscopic appendectomy or open appendectomy to decrease postoperative complications and improves postoperative results especially tubal adhesions in married females. Methods: This is a prospective randomized comparative study including married female patients from age 18-45 years suffering from acute appendicitis who presented to the Emergency Unit of Surgery Department of Zagazig University during the period from April 2015 to March 2018. These patients were randomly divided into two groups with each had its management approach, open appendectomy group: 27 patients and laparoscopic appendectomy group: 27 patients. The procedure was explained to the patients, and they were consented as regard to the postoperative follow up. Results: There was statistically significant difference between both groups as regards operative time, post-operative complications, hospital stay, post-operative analgesia as well as return of the patients to their normal activity (P value < 0.05). On the other hand, there was no statistical difference between the two groups as regard symptoms and signs according to modified Alvarado Score (P = 0.783), laboratory findings (P = 0.776), preoperative pelvi-abdominal U/S (P = 0.783), intra-operative findings (P = 0.843). Conclusion: laparoscopic appendectomy is considered a feasible and a safe method in acute appendicitis management and it is still better than open procedure, as it has a shorter duration of hospital stay, a less incidence of wound infection, the need for post- operative analgesia is less than open procedure and a faster patient?s return to their daily activities.