Dr. J. P. S. Shakya, Dr. Arun Rathore, Dr. Sachin Shukla


Objective: In our study objective is to identified 5 independent risk factor for conversion of laparoscopic
appendicectomy are Duration of illness,History of Previous surgery,Leucocyte count at the time of diagnosis,
Ultrasonography and Intra operative findings
Materials and methods: Study from December 2017 to December 2019. appendectomy for acute appendicitis was performed on 60 patients in our
Surgical Unit at Sarojni Naidu Medical College, Agra. Of these, 30 patients underwent laparoscopic appendicectomy and 30 patients underwent
open appendicectomy The clinical, demographic, surgical and pathological data of these patients were included in a prospective database.. The
following factors were analyzed in order to identify which were associated with the conversion: History of Previous abdominal surgery, Leucocyte
count at the time of diagnosis, preoperative Ultrasonography, Intraoperative findings and Duration of illness During our study period.
Results: At univariate analysis, the factors significantly related to the conversion were the presence of Intraoperative findings (50%) has been
the most common factor, preoperative ultrsasonography findings for conversion in(20%)cases, (10%) had undergone previous abdominal
surgery , Leucocyte count at the time of diagnosis have no effect on conversion in Duration of illness>3 days (20%)have laparoscopic
appendectomies, (30%) laparoscopic appendectomies converted to open . Duration of illness<3 days (30%)have laparoscopic appendectomies
and ( 20% )laparoscopic appendectomies converted to open.
Conclusion: The majority of patients with acute appendicitis can be successfully managed with laparoscopy. We found that the only
preoperative independent factor related to conversion during laparoscopic appendectomy is the presence of preoperative factors . Nevertheless
surgeons should take into account that presence of Intraoperative findings( peri-appendicular abscess) and pre operative ultrsasonography
findings ( diffuse peritonitis) are both independently related not only to higher rate of conversion but also to higher risk of postoperative
complication. Duration of illness and history of undergone previous abdominal surgery also factors for coversion but on lesser rate.


Conversion Of Laproscopic Into Open Appendectomy Intra operative Findings And Pre Operative Ultrsasonography findings.

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