الفهرس | Only 14 pages are availabe for public view |
Abstract Appendectomy is the most common surgical procedure performed in general surgery. For almost a century, open appendectomy, first described by charles McBurney in 1889, has remained the gold standard treatment for acute appendicitis. The introduction of laparoscopic surgery has dramatically changed the field of surgery and laparoscopic surgery has been widely used as a minimally invasive surgery Laparoscopic appendectomy has emerged as a safe procedure with potential advantages including diagnostic and therapeutic values This study was conducted to assess the preoperative risk factors for laparoscopic to open appendectomy conversion in Egyptian patients This study included 30 patients who presented to El Demerdash Hospital, Ain Shams University, causality department, from December 2017 to august 2018. The age range was from 18 to 52 years and the Female to Male ratio was 19:11. Of the 30 initial LA, 9 cases were converted to OA (30%). We found that age , fever , high WBC and higher CRP were statically significant Also our study showed peri-appendicular (minimal, rim...etc.) collection and perforated appendix , High SAGS sore were statically significant for the reasons for conversion from laparoscopic appendectomy to open appendectomy and the most common Intra-operative technical factor is adhesions. On the other hand , our study showed that gender, Body mass index and start of the pain surgery were not statically significant factors for conversion from laparoscopic appendectomy to open appendectomy. Also diabetes and hypertension (co-morbidities) and previous abdominal surgery were not statically significant factors for conversion from laparoscopic appendectomy to open appendectomy. |