BACKGROUNDAppendicitis remains one of the most common surgical diseases. Open or laparoscopic appendectomy remains the gold standard treatment for acute appendicitis. The technique of appendectomy may vary from surgeon to surgeon or from centre to centre, starting from skin incision to ligation and invagination of appendiceal stump. However, concerns still exist regarding appendiceal stump closure.The present study was conducted to compare the stump closure techniques of Endoloop versus Intracorporeal Transfixation of the base of the appendix in laparoscopic appendectomy to demonstrate the safety and feasibility in this surgery. MATERIALS AND METHODSThis prospective, non-randomised, controlled study was conducted on 60 patients with appendicitis. The patients from same population were assigned to one of the two groups alternatively; A and B, each consisting of 30 patients. The patients in Group A underwent laparoscopic appendectomy with simple endoloop ligation of the base of appendix, whereas the patients in Group B underwent laparoscopic appendectomy with intracorporeal transfixation of the base of appendix. The findings of subgroups were compared and results were evaluated by IBM-Statistical Package Social Sciences (SPSS) statistical methods. RESULTSPosition and diameter of appendix did not affect the feasibility of stump ligation with both techniques. Both techniques were comparable in terms of post-operative complications and time of appearance of bowel activity. Operative time was significantly more in intracorporeal transfixation technique. CONCLUSIONBoth the techniques are safe, sure and reliable methods for stump closure. Hence, appendix stump ligation should be left to preference of the operating surgeon.
Ascaris migration from the intestine into the peritoneal cavity is rarely seen and the usual presentation is the acute abdomen. Our case report is of a young male who got admitted after a roadside accident with polytrauma including blunt trauma abdomen. When the patient was taken up for exploratory laparotomy, a freely lying tubular structure was noticed in the pelvis and small intestinal perforation. On inspection, it turned out to be an Ascaris worm. This is a case report of a rare presentation of Ascaris lumbricoides with jejunal perforation following blunt trauma. This blunt trauma could have been the cause of an intestinal perforation resulting from a concealed presence of an impending Ascaris perforation.
BACKGROUNDAim-Diseases of gallbladder are known since antiquity. Cholelithiasis has plagued the mankind for over 2000 years. Laparoscopic cholecystectomy is considered to be the procedure of choice for elective cholecystectomy. The operation of laparoscopic cholecystectomy is still evolving with time and the size, number of ports is reducing day by day. This prospective, randomised pilot study was done to compare the extraction of gallbladder through epigastric/subxiphoid port v/s supraumbilical port in laparoscopic cholecystectomy in terms of operative time, complications, extendibility of the incision, hospital stay, cosmesis, ease of use and acceptability by both the patient and surgeon.
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