Mahdi Eskandarlou1, Alireza Nemati2, Mohammad Ali Seif-Rabiei3. 1. Department of General Surgery, Hamadan University of Medical Sciences, Hamadan, Iran. eskandarloumahdi@gmail.com. 2. Department of General Surgery, Hamadan University of Medical Sciences, Hamadan, Iran. 3. Department of Social Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract
PURPOSE: We aimed to introduce a new surgical method for open appendectomy including a right groin incision with adipocutaneous flap and to compare its feasibility, safety, and cosmetic outcomes with classic McBurney's incision. METHODS:Patients with the diagnosis of acute appendicitis who were candidates for appendectomy surgery at General Surgery Department, Besat Hospital, Hamadan University of Medical Sciences, Iran, in 2016 and 2017, were enrolled in a randomized controlled clinical study. Patients were randomly assigned to two groups each containing 50 patients. In the case and control groups, patients underwent appendectomy using right groin incision with adipocutaneous flap and traditional McBurney's methods, respectively. RESULTS:One hundred patients with the mean age of 23.6 years (range = 4-44) old including 65 males were enrolled in the study. Patients' demographics, histopathology, and anatomical location of the appendix were not significantly different in the case and control groups. There was no significant difference in postoperative wound infection, cellulitis, hematoma, and seroma between the two groups. Patients in the case group were significantly more satisfied in terms of cosmesis than in the control group (P < .001); however, the operative time and pain were higher in the case group compared to the control group (P values = 0.016 and 0.033, respectively). CONCLUSIONS: The right groin incision for open appendectomy may be safe and feasible and the most cosmetically appealing method especially in children and patients with cosmetic concerns.
RCT Entities:
PURPOSE: We aimed to introduce a new surgical method for open appendectomy including a right groin incision with adipocutaneous flap and to compare its feasibility, safety, and cosmetic outcomes with classic McBurney's incision. METHODS:Patients with the diagnosis of acute appendicitis who were candidates for appendectomy surgery at General Surgery Department, Besat Hospital, Hamadan University of Medical Sciences, Iran, in 2016 and 2017, were enrolled in a randomized controlled clinical study. Patients were randomly assigned to two groups each containing 50 patients. In the case and control groups, patients underwent appendectomy using right groin incision with adipocutaneous flap and traditional McBurney's methods, respectively. RESULTS: One hundred patients with the mean age of 23.6 years (range = 4-44) old including 65 males were enrolled in the study. Patients' demographics, histopathology, and anatomical location of the appendix were not significantly different in the case and control groups. There was no significant difference in postoperative wound infection, cellulitis, hematoma, and seroma between the two groups. Patients in the case group were significantly more satisfied in terms of cosmesis than in the control group (P < .001); however, the operative time and pain were higher in the case group compared to the control group (P values = 0.016 and 0.033, respectively). CONCLUSIONS: The right groin incision for open appendectomy may be safe and feasible and the most cosmetically appealing method especially in children and patients with cosmetic concerns.
Authors: Ferdinando Agresta; Paolo De Simone; Leonardo Leone; Alberto Arezzo; Antonio Biondi; Luca Bottero; Fausto Catena; Giovanni Conzo; Gianmattia Del Genio; Alberto Fersini; Mario Guerrieri; Giovanni Illomei; Pietro Tonelli; Marco Vitellaro; Giovanni Docimo; Antonio Crucitti Journal: J Laparoendosc Adv Surg Tech A Date: 2004-02 Impact factor: 1.878
Authors: Alejandro Ruiz-Patiño; Samuel Rey; German Molina; Luis Carlos Dominguez; Saul Rugeles Journal: J Surg Res Date: 2017-12-22 Impact factor: 2.192