Abstract
A new era of minimally invasive surgery has led to the advancement of new approaches for the existing operations. Mini-appendectomy is a randomly practiced preexisting underestimated form of open surgery, which serves the purpose of minimally invasive surgery, i.e., 1.5–2.5 cm incision to cure appendicitis. This study aims to describe the perioperative outcome of mini-appendectomy to combat appendicitis. A descriptive cross-sectional study was conducted at Nobel Medical College and Teaching Hospital, Biratnagar, Nepal. All cases undergoing mini-appendectomy from August 2016 to August 2017 were included in the study. Convenience sampling was done. A proforma was used to collect data on patient’s detailed clinical history, physical examination, operative details, operative time, postoperative complications, postoperative analgesic requirements, ambulation, length of hospital stay, return to routine, and patient satisfaction. Among 150 patients who underwent mini-incision appendectomy, 3 (2%) patients required extension of incision up to 4 cm. The average (SD) operating time was 16.67 (3.10) minutes. The average (SD) time in which patients could ambulate was 6.08 (0.4) hours. Only 6 (4%) patients required postoperative additional analgesic. The mean (SD) hospital stay was 28.80 (16.91) hours. Wound infection occurred in 2 (1.3%) patients. A majority of 148 (98.7%) patients reported satisfaction with the minimal scar. Mini-appendectomy is a safe, feasible, and promising procedure to cure appendicitis and gives high satisfaction to the patient.
Similar content being viewed by others
References
Williams NS, O’Connell PR, McCaskie AW (2018) In: Mulsow J (ed) Bailey and Love’s short practice of surgery, 27th edn. CRC Press Taylor & Francis Group, Boca Raton, pp 1299–1317
Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE (2015) In: Liang MK, Andersson RE, Jaffe BM, Berger DH (eds) Schwartz’s principles of surgery, 10th edn. McGraw-Hill Education, New York, pp 1241–1259
Townsend CM, Beauchamp RD, Evers BM, Mattox KL (2017) In: Richmond B (ed) Sabiston textbook of surgery the biological basis of modern surgical practice, 20th edn. Elsevier, Philadelphia, pp 1296–1309
Farquharson M, Hollingshead J, Moran B (2015) Chapter 22, Classic operations on the small and large bowel. In: Farquharson’s text book of operative general surgery, 10th edn. CRC Press Taylor & Francis Group, Boca Raton, pp 379–383
Jelenko C 3rd, Davis LP (1973) A transverse lower abdominal appendectomy incision with minimal muscle derangement. Surg Gynecol Obstet 136(3):451–452
Delany HM, Carnevale NJ (1976) A “bikini” incision for appendectomy. Am J Surg 132(1):126–127
Temple WJ (1990) Bikini appendectomy incision, an alternative to the McBurney’s approach for appendectomy. Can J Surg 33(5):343–344
Suh HH (1998) A minimally invasive technique of appendectomy using a minimal skin incision and laparoscopic instruments. Surg Laparosc Endosc 8(2):149–152
Faisal MS, Muhammad SD (2016) Buttonhole access surgery for acute appendicitis- an underestimated surgical skill. Journal of Sheikh Zayed Medical College 7(3):1007–1012
Ashok K, Rashmi K, Goveen M, Kumar VP (2016) Button hole, single stitch, non-laparoscopic appendectomy in a tribal district hospital, advantage over laparoscopy. Journal of Contemporary Medicine and Dentistry 4(1):4–8
Shasin SK, Dhar S (2005) Mini-appendectomy (an experience of 100 cases). JK Pract 12(1):11–13
Arora B, Yadav A, Lodha M (2018) Feasibility of miniappendicectomy as a day surgery procedure. International Organization of Scientific Research Journal of Dental and Medical Sciences 17(2):66–69
Sundaravadanan BS, Sudarshan PB, Prabu SS (2017) Mini incision appendectomy: an analysis of 70 cases. Int Surg J 4(3):896–898
Ciftci F (2015) Laparoscopic vs mini-incision open appendectomy. World J Gastrointest Surg 7(10):267–272
Ozsan I, Karabuga T, Yoldas O, Alpdogan O, Aydin U (2014) Laparoscopic appendectomy versus mini-incision appendectomy in patients with lower body mass index and noncomplicated appendicitis. Gastroenterol Res Pract 2014:138648
Shah B, Vaidhya N, Anchalia MM (2013) A comparative study between laparoscopic appendicectomy and small incision open (minilap) appendicectomy in cases of acute appendicitis. Int J Sci Res 2(11):144–150
Bhasin SK, Kumar V, Mahajan M, Kumar R (2012) A comparative study of mini-appendectomy and conventional appendectomy in acute appendicitis. JK Sci 14(4):190–193
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Chaurasia, P., Bhagabati, J.N., Koirala, A. et al. Outcomes of Mini-Appendectomy: an Experience of 150 Cases at a Tertiary Care Hospital of Nepal. Indian J Surg 83, 904–907 (2021). https://doi.org/10.1007/s12262-020-02531-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-020-02531-1