Publication:
The Trend and Outcomes of Laparoscopic Appendectomy for Complicated Appendicitis in Nepal: A retrospective study from 2014 to 2018 in a University Hospital

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creativeworkseries.issn1812-2027
dc.contributor.authorShakya, YR
dc.contributor.authorShakya, S
dc.contributor.authorNapit, D
dc.contributor.authorDahal, S
dc.contributor.authorMalla, BR
dc.date.accessioned2025-12-02T06:53:39Z
dc.date.available2025-12-02T06:53:39Z
dc.date.issued2019
dc.descriptionShakya YR,1 Shakya S,2 Napit D,1 Dahal S,1 Malla BR1 1Department of Surgery Kathmandu University School of Medical Sciences Dhulikhel, Kavre, Nepal. 2Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, Unviersity of Arkansas for Medical Sciences, Arkansas, USA
dc.description.abstractABSTRACT Background Globally, appendicitis is the most frequent emergency surgical procedure. Laparoscopic Appendectomy (LA) is recommended as a standard surgical procedure to remove appendix. In Nepal, studies showed improved outcomes of Laparoscopic Appendectomy than Open Appendectomy (OA) in treating acute appendicitis. However, effectiveness of in Complicated Appendicitis (CA) has not yet studied in Nepal. Objective This study aims to assess the temporal trend of Laparoscopic Appendectomy in management of Complicated appendicitis and to compare outcomes with Open Appendectomy. Method The study is a retrospective descriptive study. The outcome measures in the study are age, sex, ethnicity, length of postoperative stay (LOS), and conversion rate. Secondary data of 174 patients with complicated appendicitis were extracted and reviewed from the operation theater records and the discharge summary from the period of 2014 to 2018. Result The mean age of the patients is 33.2 (SD ±19.4). Predominantly increased incidence is observed among male patients (66%). Mean Length of stay was 4.07(SD±2.1) days. Laparoscopic Appendectomy had shorter hospital stays than open and converted cases. The conversion rate was 10.92% for the observation period, and it was in a decreasing trend with the latest of 4.54%. The temporal trend for the percentage of patients who underwent Laparoscopic Appendectomy was increasing in the observation period. Conclusion The utilization of laparoscopic appendectomy in complicated appendicitis is growing in Nepal, and has decreasing conversion rate. KEY WORDS Appendicitis, Conversion rate, Laparoscopy
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3365
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectAppendicitis
dc.subjectConversion rate
dc.subjectLaparoscopy
dc.titleThe Trend and Outcomes of Laparoscopic Appendectomy for Complicated Appendicitis in Nepal: A retrospective study from 2014 to 2018 in a University Hospital
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage310
oaire.citation.startPage306
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relation.isJournalIssueOfPublication.latestForDiscoveryfba8ff84-c441-4618-8dc1-db69abb9ff05
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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