الفهرس 
Contents
Chapter 1 : Anatomy of the appendixOnly 14 pages are availabe for public view
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Abstract
Background: Acute appendicitis is the commonest cause of acute abdominal pain, as a result appendectomy is one of the most frequently performed general surgical procedures. Gridiron incision was the classic one used.Now in the era of minimal access surgery ,appendectomy is commonly to be performed laparoscopically .All benefits of minimal access surgery like rapid recovery, better cosmetic result and less postoperative pain are strongly present in laparoscopic appendectomy .Some authors claim that the incidence of post-appendectomy collection is much higher in laparoscopy. Aim of the work: to compare between laparoscopic and open appendectomy in obese patients (BMI>30) as regard operative and postoperative course. Patients and methods: 81 patients were selected to be included in this study and randomly distributed into 2 groups one for laparoscopic and the other for open appendectomy. Results: The mean age of the laparoscopic group was 30,37 years and 29,85 years for the open group. 62.5% of the laparoscopic group was above 35 BMI while 41.5% in the open group. Operative time, hospital stay, return to normal activity, time to start oral intake, total analgesic dose is significantly lower in laparoscopic group than the open group. Wound infection is lower in laparoscopic group, no significant difference between both groups regarding postoperative collection. Conclusion laparoscopic appendectomy in over weight patients is better than open regarding the operative and postoperative course (less operative time, less postoperative pain, shorter hospital stay,rapid return to normal activities) and strongly recommended to replace open appendectomy.