Inguinal Hernia Following Open vs Laparoscopic Appendectomy in a Three-Year Follow up: A Randomized Controlled Study
نویسندگان
1 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of general surgery, Tehran University of Medical Sciences, Tehran, Iran
3 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Radiology, Shahid Labbafinejad hospital, Shahid Beheshti Uni-versity of Medical Sciences, Tehran, Iran
6 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
7 Critical Care Quality Improvement Research Center, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
doi
10.22034/ircmj.2024.199245چکیده
Background and Objectives: As the most common surgical condition, acute appendicitis has a lifetime risk of 7 to 16% in general population. Laparoscopic appendectomy (LA) has dragged a lot of attentions in surgeons in the last two decades; however, previous studies show controversies regarding superiority of LA over open appendectomy. Methods: In this prospective cohort study, we assessed the patients who had undergone laparoscopic or open appendectomy in our hospital between February 2017 and February 2020. We recorded demographic information as well as data on CBC, CRP, wound infection, pain score (based on visual analogue scale) and duration of operation in a pre-designed checklist. We followed all the patients for a three-year period for incidence of right-side inguinal hernia. Results: We included 150 (103 males and 47 females) patients with a mean age of 25.51±6.51 years. Mean pain score after surgery was 7.76±0.99 in open and 7.49±1.04 in laparoscopic appendectomy groups (P = 0.138). Surgery site infection (SSI) was occurred in 3 (4%) patients of open and one patient (1.3%) of laparoscopic appendectomy surgery (P = 0.620). After completing a 3-year follow-up, 5 (6.6%) patients in open appendectomy and 2 (2.6%) patients in laparoscopic appendectomy group had inguinal hernia (P = 0.442). Conclusion: In conclusion, we realized that open appendectomy is not associated with a significantly higher rate of inguinal hernia in comparison with laparoscopic appendectomy in a three-year post-operative period.
