الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Acute appendicitis is one of the most common causes of abdominal pain worldwide, approximately 6% of the population develops appendicitis in their lifetime, yet remains one of the most challenging conditions to diagnose especially in the middle age females due to the wide spectrum of differential diagnoses with gynecological pathology often mimics acute appendicitis. The incidence of wrong diagnosis and unnecessary appendectomy has been reported in (22% – 47%) of middle-aged women diagnosed clinically. The treatment of choice for acute appendicitis is appendectomy that can be performed using an open or laparoscopic approach.
Since the introduction of the laparoscopic appendectomy, it has become an alternative method of treatment to open appendectomy. Due to its advantages in terms of intraoperative assessment and postoperative wound infections, analgesic requirements, duration of hospital stay, the interval before return to work, and overall recovery. Moreover, the diagnostic advantage which the laparoscopy provides allows the confirmation of diagnosis and detection of other possible causes of abdominal pain, especially in the middle age females.
This study aimed to compare the two different methods of surgical appendectomy as regards feasibility, safety, and complications.
The study was carried on fifty middle-aged female patients presented to the emergency department of the Alexandria Main University Hospital with acute appendicitis. Patients were randomized by closed envelope technique into two groups: group A, who underwent the conventional open appendectomy, and group B who underwent the laparoscopic appendectomy. Patients with contraindication to laparoscopy were excluded from the study.
All patients were subjected to detailed history taking, physical examination, and routine investigations, abdominal ultrasonography.
The laparoscopic approach is a safe and effective way of treating acute appendicitis without an increase in the incidence of postoperative complications such as a leak or intra-abdominal collection.
The benefits of the laparoscopic approach as regards the diagnostic advantage, lower incidence of wound infection and better recovery with less postoperative pain make the laparoscopic approach attractive in our daily practice, especially in the middle age females who benefit more than others.