Tamjeed Gul, Muhammad Bilal, Amina Gul, Sana Sahar, Waheed Kamran, Tariq Saeed Akhunzada.
Surgical Site Infection in Open Versus Laparoscopic Appendectomy.
J Surg Pak Jan ;19(1):22-5.

Objective: To compare the rate of surgical site infection (SSI) in patients undergoing open and laparoscopic appendectomy. Study design: Randomised controlled trial. Place & Duration of study: Surgical “A” unit, Department of Surgery Khyber Teaching Hospital Peshawar, from March 2008 to February 2011. Methodology: Patients with signs and symptoms suggestive of acute appendicitis were randomly allocated into two groups, A and B. Group A patients were subjected to open appendectomy (OA) and Group B to laparoscopic appendectomy (LA). Patients demographics including age, gender and wound infection in terms of SSI were recorded on a proforma. Statistical analysis was performed using SPSS version 11 with proportions and mean ± SD calculated for categorical and continuous variables, respectively. Probability = 0.05 was taken as significant. Results: Two hundred and ninety two patients were analyzed (146 in group A and 146 in group B). The mean age of patients in group A was 26.5 ± 7.1 year and 25.2 ± 6.5 year in group B. The male to female ratio in group A was 1.21:1 compared to 1.28:1 in group B. Surgical site infection was observed in 10 patients in group A and in 6 patients in group B. There was no significant difference between the two procedures regarding overall SSI rate (p= 0.304). Conclusion: Laparoscopic appendectomy did not offer significant advantage over open appendicectomy in terms of SSI.

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