Post-Operative Analgesic requirement in Non-closure and Closure of Peritoneum during open Appendectomy- A Randomized controlled study
Published: April 1, 2012 | DOI: https://doi.org/10.7860/JCDR/2012/.2008
Basarkod Suresh, Ambi Uday S, Ganeshnavar Anilkumar, Emmi Shailesh, Lamani Y P
1.Corresponding Author,
2.Assistant Professor, Dept. Of Anaesthesiology,
3.Assistant Professor, Dept. Of Anaesthesiology,
4.Assistant Professor, Dept of Surgery,
5.Assistant Professor, Dept of Surgery,
SN Medical College and HSK Hospital, Bagalkot, Karnataka, 587102, India
Correspondence
Basarkod Suresh,
Associate Professor, Department of Surgery,
SN Medical College and HSK Hospital, Bagalkot,
Karnataka -587102, India.
Phone: 918354-235400
E-mail: sureshbasarkod@gmail.com
Objectives: To assess the post-operative analgesic requirement of non-closure of the visceral and parietal peritoneum at open appendectomy as compared to suture peritonization.
Design: A randomized double-blind controlled trail was performed on 100 patients who underwent open appendectomy.
Main outcome measures: Post-operative pain scores as assessed by visual analogue scale and analgesic requirement.
Results: Pain scores at 24 hours were less in non-closure than closure group and analgesic requirement was significantly lesser in non-closure than closure group after 24 hours.
Conclusion: In conclusion, not suturing the peritoneum at the appendectomy has beneficial effects on post-operative pain and we also emphasise the absence of short term morbidity when peritoneum is not closed. Therefore we recommend the non-closure of peritoneum at appendectomy.
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