Outcomes of Laparoscopic Appendicectomy in Al-Diwanyiah Teaching Hospital

Aim of the study: To evaluate the clinical results of laparoscopic appendectomy for the treatment of chronic or recurrent appendicitis and interval appendicectomy. A prospective analysis was conducted at Al-Diwanyiah Teaching Hospital on 100 cases of laparoscopic appendicectomy over a period between January 2013 to January 2016. The diagnosis of appendicitis was established with history, physical examination, laboratory tests and ultrasound examination. The patients were analyzed for age, sex, conversion rate, operation time, postoperative complications, length of hospital stay, time to return to work and cost effectiveness. The postoperative complications including wound infection and ileus were generally low in our study with short hospital stay and early return to work and normal activity. Complication rate is higher after interval laparoscopic appendicectomy than laparoscopic appendicectomy for chronic appendicitis as well as operative time, conversion rate and hospital stay. Laparoscopic appendicectomy is a safe and effective procedure in the management of chronic or recurrent appendicitis and as interval appendicectomy after non-operative management of appendicular mass. There is an indication that laparoscopy is becoming an excellent method for management of recurrent or chronic appendicitis