European Journal of Cardiovascular Medicine

Laparoscopic appendectomy is a procedure with the lowest morbidity and combines diagnostic and therapeutic advantages. The trend towards minimally invasive surgery has led general surgeons to evaluate the potential conversion of nearly all surgeries to laparoscopic procedures. Therefore, the purpose of the present study was to evaluate the efficacy of Laparoscopic appendectomy in patients with Appendicular Perforation in our setup. A prospective study conducted on 50 cases of appendicitis with perforation were diagnosed, admitted, investigated, treated and followed up in the Department of General Surgery, Government General Hospital, Ananthapuram during the period of November 2020 to November 2022. Clinical and demographic details were obtained and subjected to appropriate statistical analysis. Majority (72%) of patient’s age group lied in 2^nd and 3^rd decade of life with predominance for male gender was observed. The clinical findings of perforation was based on tachycardia (> 90/ mt.),tachypnoea(16-20/min.). Nausea/vomiting was in (36) 72% of patients. 39(78%) patients had RIF tenderness. 11000/cmm to 15000/cmm was occupied by 31(62%) patients. Detection of appendicular perforation by ultrasonography was 70% (in 35 cases) and 93.33% (14) patients were detected by CECT abdomen in suitable patients. Appendicular mass was seen in 7 (14%) and abscess in 13(26%) patients. Various positions of appendix like retro cecal 35(70%), pelvic 11(22%), subcecal 2(4%), preileal 0(0%) post ileal 2(4%) were documented. Site of appendicular perforation at tip was in 40(80%) of cases. Conversion of laparoscopic procedure to open procedure was seen only in 2(4%) cases. Placement of drain was in 11 (22%).Postoperative Ileus was seen in 24(48%) patients. 21(42%) of patients have been discharged by POD-3. Our study certainly proved that laparoscopic appendicectomy in patients with perforated appendix is advantageous in reducing post-operative morbidity and early recovery of the patient. Study proved laparoscopic appendectomy is the BEST approach in perforated appendicitis.