MODIFIED LAPAROSCOPIC APPENDECTOMY

I Nafeh, Ayman; Farouk, Youssef; Nasr, Magid; Hazem Helmy, Ahmed

doi:10.21608/ejsur.2004.374028

MODIFIED LAPAROSCOPIC APPENDECTOMY

Document Type : Original Article

Authors

Department of General Surgery, Theodor Bilharz Research Institute (TBRI), Giza, Egypt

10.21608/ejsur.2004.374028

Abstract

Background: Appendectomy accounts for 1% of all surgical procedures. Laproscopic appendectomy has incited
considerable controversy since its evolution. The purpose of this clinical study is to evaluate the results of some
modifications added to the operation of laparoscopic appendectomy.
Patients and Methods: Two groups of patients undergoing appendectomy were studied. In the first group 50 patients were subjected to open appendectomy. While the second group included another 50 patients whom were subjected to modified laparoscopic appendectomy. We compared the patients’ operative data, operative findings, postoperative complications, length of hospital stay and recovery variables.
Results: Patients’ demographics, history of previous abdominal surgery and operative findings were similar in both groups.
There were no intra or postoperative complications in the modified laparoscopic appendectomy group, due to the use of two 5 mm ports, ligation of the appendicular stump with ligatures, copious irrigation of the abdomen with saline and cleaning of the port sites with Povidone Iodine 10%.
Conclusion: We conclude that with the new modifications added in our study, the incidence of postoperative complications were much lower than in other techniques. Also modified laparoscopic appendectomy offers considerable advantages primarily because of its ability for better scope of vision, good exploration, reduction of incidence of wound infection and its cost effectiveness.