Dr.

NTR UNIVERSITY OF HEALTH SCIENCES

VIJAYAWADA, ANDHRA PRADESH

PROFORMA FOR REGISTRATION OF SUBJECTS

FORDISSERTATION

1. NAME OF THE CANDIDATE AND ADDRESS: Dr. MANNE SRIKRISHNADITYA

2. NAME OF THE INSTITUTION
3. COURSE OF STUDY AND SUBJECT
4. DATE OF ADMISSION INTO THE COURSE
5. TITLE OF THE DISSERTATION:
“ A Comparative study between OPEN and LAPAROSCOPIC APPENDICECTOMY”
Post graduate in M.S General Surgery,
Konaseema Institute Of Medical
Sciences and Research Foundation.
NH – 216, Chaitanya Nagar,
Amalapuram,
East Godavari, Andhra Pradesh
: Konaseema Institute of Medical Sciences
and Research Foundation,
Amalapuram, AP- 533201.
: Master’s Degree in
General Surgery
: 09/07/2014

6.1 INTRODUCTION:

Claudius Amyand successfully removed an acutely inflamed appendix from the hernia sac of a
boy in 1736. The first surgeon to perform a deliberate appendicectomy for acute appendicitis
was Lawson Tait in May 1880.

Conventional Appendicectomy- when the preoperative diagnosis is considered reasonably

certain, the incision that is widely used for apendicectomy is so called GRIDIRON INCISION-
Described by McArthur( Gridiron: a frame of cross beams to support a ship during repairs).it is
made at right angles to a line joining the anterior superior iliac spineto the umbilicus, its centre
being along the line at McBurney’s Point. If better access is required, it is possible to convert the
gridiron to a Rutherford Morrison incision by cutting the internal oblique and transversus
muscles in the line of incision.
LAPAROSCOPIC APPENDICECTOMY: The most valuable aspect of laparoscopy in the management
of suspected appendicitis is as a diagnostic tool. The placement of operative ports may vary
according to operator preference and previous abdominal scars. The operator stands to the
patient’s left and faces a video monitor placed at the patient’s right foot. The appendix is found
in the conventional manner by identification of the caecaltaeniae and is controlled using a
laparoscopic tissue holding forceps. By elevating the appendix, mesoappendix is displayed. A
dissecting forceps is used to create a window to allow the appendicular vessels to be coagulated
or ligated using a clip applicator. The appendix, free of its mesentery, can be ligated at its base
with an absorbable loop ligature, divided and removed through one of the operating ports.

6.2: AIMS AND OBJECTIVES OF THE STUDY:

A) To select the patient for either Laparoscopic or Open appendicectomy depending on various
factors like Obesity, Pregnancy, Cost effectiveness.

B)To compare the duration of surgeries in these two modalities.

C)To identify the reasons for conversion from laparoscopic to open surgery.

D) To compare the Post Operative pain using the same analgesic in both the groups.

E) To compare the duration of stay in the hospital.

F) To compare the incidence of surgical site infections.

G) To identify the various Post Operative complications in both the groups.

6.3 JUSTIFICATION OF STUDY:

To compare the Advantages and Disadvantages of Open and Laparoscopic Appendicectomy.

6.4: METHODOLOGY DESCRIBING POTENTIAL RISKS AND BENEFITS:

Source Of Data:

All the eligible candidates coming to Konaseema Institute of Medical Sciences and Research
Foundation, Amalapuram, during the period of study will be included.

Sample Size: Total Number of eligible patients admitted during study period.

Place of Study: Konaseema Institute of Medical Sciences and Research Foundation,

Amalapuram, East Godavari, Andhra Pradesh

Type of Study: It will be a hospital based comparative study.

INCLUSION CRITERIA:

1. Patients admitting to KIMS GENERAL HOSPITAL, AMALAPURAM during the period of

study will be included.
2. All the patients of age more than 13 years.
3. Both genders are included.

METHOD OF COLLECTION OF DATA:

 Pre tested questionnaire will be filled based on history given.

 Clinical examination of the patient.
 Investigations
 Surgery – Either laparoscopy or open depending on various factors.
 Analysis as per Aims and objectives.

6.5 DURATION OF STUDY: Proposed to complete the study in stipulated period from 2014-2016

7.Signature of the Candidate:

8.Name and Designation of the Guide: Dr. B.CHANDRASEKHAR, M.S

Professor, Department of General Surgery

9. Signature Of The Dean:

Head Of the Department: Guide:

NAME: NAME:

Signature Signature