A One Year Randomised Controlled Trial To Compare Laparoscopic Repair Vs Open Repair For The Treatment Of Hollow Viscus Perforation at KLES Prabhakar Kore Hospital Belagavi

Abstract

Background and objectives In patients presenting with hollow viscus perforation open surgery is considered as the standard approach, but the use of laparoscopy for diagnostic purposes and treatment appears to be a safe alternative with a number of advantages. The present study was compared results of laparoscopic repair versus open repair. Methodology This one year hospital based randomized controlled trial was conducted in the Department of General Surgery, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi. A total of 60 Patients admitted with hollow viscus perforation undergoing either laparoscopic or open repair from January 2015 to December 2015 were studied. These patients were sequentially randomized into two groups of 30 each as Group A (laparoscopic repair) and Group B (open repair). Results Most of the patients were males in Group A (63.33%) as well as group B (73.33%) (p=0.405). The mean age was almost similar in group A (48.30 ± 18.23 years) and Group B (49.30 ± 15.27 years) (p=0.819). Other characteristics including clinical presentation, medical and personal history, systemic examination findings and diagnosis were comparable between two groups, (p>0.050). The mean Manheim’s peritonitis index Score was comparable in group A and group B (22.07 ± 4.65 vs. 21.47 ± 5.39; p=0.646). The mean duration of surgery was significantly low in group A (105.13 ± 9.57 minutes) compared to group B (141.67± 20.19 minutes) (p<0.001). The mean duration of resumption of daily activities was significantly low in group A (4.53± 0.73 Days) compared to group B (11.87 ± 2.93 Days) (p<0.001). Conclusion and interpretation Laparoscopic repair is beneficial procedure for the management of hollow viscous perforation in terms of lower surgical time, and early resumption of daily activities.