Prospective evaluation shows laparoscopic approach reduces blood loss and hospital stay in complicated appendicitis, suggesting it could be safer.
This 18-month prospective study at NMCHRC, Raichur, compared 36 laparoscopic and 36 open appendectomies in complicated appendicitis. Laparoscopic appendectomy showed significantly less blood loss, earlier diet resumption, shorter hospital stay, better cosmesis, and lower pain scores. Two cases (5.56%) required conversion to open. Fewer complications occurred in the LA group, confirming it as a safe, effective alternative in selected cases.
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D'Monte et al. (2025) studied this question.
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