ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Laparoscopic appendectomy in a Nigerian teaching hospital.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of laparoscopic surgery in low- and middle-income countries: benefits, challenges, and strategies.Surgical endoscopy · 2016Pooled it
- Laparoscopic versus open appendectomy for acute appendicitis in Sub-Saharan Africa.Annals of medicine and surgery (2012) · 2026Article
- A sharp plant stem causing terminal ileal perforation with clinical presentation resembling acute appendicitis: a case report.Frontiers in medicine · 2025Article
- Barriers to accessing appendectomy in the public sector health system in the Western Cape Province, South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Factors Contributing to Delays to Accessing Appendectomy in Low- and Middle-Income Countries: A Scoping Review.World journal of surgery · 2023Article
- Improving Access to Laparoscopy in Low-Resource Settings.Annals of global health · 2019Article
- Practice, training and safety of laparoscopic surgery in low and middle-income countries.World journal of gastrointestinal surgery · 2017Review
- General surgical services at an urban teaching hospital in Mozambique.The Journal of surgical research · 2015Article
- Patient perceptions about laparoscopy at Komfo Anokye Teaching Hospital, Ghana.The Pan African medical journal · 2015Article
- Impact of introduction of laparoscopic surgery on management of unresolved intra-abdominal malignancies in a West African hospital.World journal of surgery · 2014Article
- Wound complications following laparoscopic surgery in a nigerian hospital.Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society · 2014Article
- An Outcomes-Focused Analysis of Laparoscopic and Open Surgery in a Nigerian Hospital.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Early experience with laparoscopic surgery in children in Ile-Ife, Nigeria.African journal of paediatric surgery : AJPSArticle
- Trend Over Time for Cholecystectomy following the Introduction of Laparoscopy in a Nigerian Tertiary Hospital.Nigerian journal of surgery : official publication of the Nigerian Surgical Research SocietyArticle
- Open Versus Laparoscopic Appendectomy: A Comparison of Outcome in a Teaching Hospital, Northeast Nigeria.Journal of the West African College of SurgeonsArticle
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4 authors.
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Abstract
objectiveLaparoscopic appendectomy in a setting where resources are poor is still controversial. This study evaluates the impact of laparoscopy on the early outcome of acute appendicitis in a developing country.
methodsAll patients who underwent appendectomy from January 2010 through June 2011 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria were recruited for this study.
resultsOf the 139 patients with acute appendicitis within the study period, 83 (59.7%) had open appendectomy (OA), 19 (13.7%) whose clinical and radiological findings suggested complicated appendicitis at presentation had laparotomy, while 37 (26.6%) had laparoscopic procedures. In the laparoscopy group, initial diagnostic laparoscopy in 4 (10.8%) patients revealed a normal appendix along with other findings that precluded appendectomy. Laparoscopic appendectomy (LA) was then performed in 33 (23.7%) patients with 2 of these (6.1%) requiring conversion to open laparotomy. Mean time for the LA procedure was higher than that observed for OA (56.2 vs 38.9 min). Patients in the LA group had a shorter mean postoperative stay (1.8 vs 3.0). Wound infection occurred in 2 (6.5%) patients from the LA group and 8 (9.6%) from OA.
conclusionLaparoscopic appendectomy reduced the rate of unnecessary appendectomy and postoperative hospital stay in our patients, potentially reducing crowding in our surgical wards. We advocate increased use of laparoscopy especially in young women.
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