Abstract: Background and Aim:
Complicated appendicitis has got good overall prognosis. Overall mortality rate of complicated appendicitis is less than 1%. Appendectomy is the most common surgical procedure done worldwide. Hence the aim of the present study was to assess the safety and efficacy of laparoscopic appendectomy in complicated appendicitis.
Materials & Methods: Total of 60 patients was include in the study. Data of the patients with age, sex, symptoms were tabulated. The documentation of the clinical findings, biochemical and imaging findings were done. Ultrasonography of the abdomen and pelvis was done in all the children. CT as ordered in those cases where the USG was found to be inconclusive.
Results: Wound infection was managed conservatively with daily dressings. Late complication in the form of adhesive obstruction was seen in 10 patients. Adhesive obstruction was seen between 6 weeks to 6 months post-surgery. Four patients required re-surgery for adhesive obstruction. In 6 children, adhesive obstruction was managed conservatively with intravenous fluids, antibiotics and nil per oral.
Conclusion: Early surgery makes the patient to get back to normal activities sooner and also reduces financial burden on family. Preliminary results show that our experiences with Laparoscopic appendectomy in Complicated Appendicitis in children have been encouraging. In conclusion having found less morbidity with laparoscopic approach we advocate the use of laparoscopy in children even with complicated appendicitis.