A team from the Kuopio University Hospital, Finland compared the recovery after appendicectomy using either a laparoscopic or an open technique in children.
61 children, aged 4-15 years, undergoing appendicectomy for suspected uncomplicated appendicitis were enrolled in the prospective, randomized and single-blinded study.
Standardized anaesthetic technique and pain management was used. The study endpoints were postoperative pain, need for rescue analgesia, and length of hospital stay.
Oxycodone doses required following appendicectomy:|
|British Journal of Surgery.|
The researchers found that children had significantly less pain after laparoscopic compared with open appendicectomy 8 hours after the operation and on the first and second postoperative mornings.
Laparoscopic appendicectomy resulted in a reduced requirement for rescue analgesia with oxycodone in hospital (mean 3·6 versus 5·8 doses).
The mean length of hospital stay was significantly shorter in the laparoscopic group (1·9 versus 2·6 days).
Three children who had open appendicectomy developed a wound infection.
Dr H. Lintula concluded on behalf of colleagues, "Laparoscopic appendicectomy is associated with less postoperative pain and a shorter hospital stay than open appendicectomy in children undergoing surgery for uncomplicated appendicitis."
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