Abstract

This study, which could be the first study in Iraq and Kurdistan region, aims to evaluate the outcome of laparoscopic appendectomy (LA) versus open appendectomy (OA) in the management of acute appendicitis regarding the use of analgesia, the time to get positive bowel sounds, the length of hospital stays, and the return to daily activity, in pediatric age group. A prospective randomized controlled trial was conducted in the period from December 2020 to March 2022 were collected 104 Paediatric patients from Raparin Paediatric Teaching Hospital ⁄ Erbil city, Kurdistan Region, Iraq. And Results which found A total of 104 patients were operated on in-group Laparoscopic 52 patients and 52 patients in group OA. The study showed Mean age of the patients was 9.1±2.2 years, and the use of less Narcotic analgesic to patients who underwent removal of appendicitis OA, Time to get +ve bowel sound (hours) To patients who underwent LA It ranged between 4-8 hours This led to the length of hospital stay (hours) and speeds up the return to daily activities. In the LA group, and These advantages in morbidity define a shorter hospital stay and less hospitalization, which has led to a reduced need for analgesics and the introduction of reusable instruments, thus reducing the overall cost of care. Laparoscopic appendectomy allows for an excellent recovery for children, enabling them to complete antibiotic treatment plans and reducing hospital stays. This method has become a priority, and there have been reports of the use of laparoscopic appendectomy for the treatment of acute appendicitis complicated by peritonitis or appendicular abscess.

Keywords

OA, LA, appendicitis, pediatric, appendectomy, Laparoscopic