الفهرس 
Anatomy of the AppendixOnly 14 pages are availabe for public view
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Abstract
Abstract
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 especially in the female in their reproductive age.
This study was conducted to evaluate of the results of the laparoscopic versus open appendectomy in young females in regarding operative time, operative findings, post-operative complications, hospital stay, post-operative analgesia, return of the patients to their normal and the cost.
The mean operating time in laparoscopic appendectomy was longer than that in the open approach (64.35 minutes in laparoscopic group versus 50.0 minutes in open group).
The overall post-operative complications were different in the 2 group. The incidence of wound infection was less in laparoscopic group (5 % versus 10 %). The mean hospital stay was shorter in laparoscopic patients than open appendectomy patients (1.25 days versus 2.10 days).
The post-operative analgesia was less in laparoscopic than open group. The mean time to return to normal activities was shorter in laparoscopic appendectomy patients (6.05 days versus 10.80 days).
Laparoscopy revealed 3 cases of gynaecological causes of acute abdomen and they were managed laparoscopically without changing or extending incision, while in open group only one case was discovered and also managed with the same incision.
The use of laparoscope in suspected appendicitis is better than the open method especially in equivocal cases to reach an exact diagnosis. We must not hesitate to convert laparoscopic appendectomy to open appendectomy for the sake and safety of the patient.