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Corresponding Author

Mahmoud Mohamed Mahmoud Ibrahim

Document Type

Original Article

Abstract

Background: In the pediatric age range, the most prevalent abdominal ailment needing surgery is acute appendicitis. The lifetime risk of acquiring appendicitis is 1 in 14 (7%).

Aim and objectives: To assess the intraoperative and postoperative Results of open and laparoscopic appendectomy for complicated appendicitis in pediatrics.

Patients and methods: This was prospective research conducted on 40 pediatric patients with complicated appendicitis presented to emergency clinics of the Pediatric Surgery Department at Al-Azhar University.

Results: No statistically substantial variation was observed between the two groups in terms of age and gender (p>0.05). No substantial variation was found between the two groups regarding ultrasound findings (p>0.05). Operative time was substantially greater in the laparoscopic appendectomy group compared to the open appendectomy group (p<0.001). In addition, The open appendectomy group saw a considerably greater rate of drain placement than the laparoscopic appendectomy group (p<0.001). Compared to the laparoscopic appendectomy group, the open appendectomy group saw a considerably greater rate of hospital stay recovery (p<0.001). Additionally, the group that underwent open appendectomy had a considerably longer hospital stay than the group that underwent laparoscopic appendectomy (p<0.001). In comparison to the laparoscopic appendectomy group, the open appendectomy group experienced substantially more wound infections and ileus (p=0.001 and p=0.022, respectively).

Conclusion: We conclude that With modest and less severe postoperative consequences compared to open surgery, laparoscopic surgery has shown to be the preferred method for treating difficult appendicitis in younger children

Keywords

Laparoscopic appendectomy; Open appendectomy; Complicated Appendicitis; Pediatric age group

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