8th International Congress of the European Association for Endoscopie Surgery (E.A.E.S.) Nice, France, 28 June–July 1, 2000 Oral presentations

Abstract

Aim of th,. study w:u to identi~" the effectiveness of laparoscopy f~ detection 1he inflammatory changes of the appendix durh~g diaguostk hpawscopy in c~c of suspect appendicitis. Methods. The laparmcopic findings and results of hystolu~cal examination where compared in 52 eases after urgent laparoscopic appendectomies in time period from 1997. 10. 01 till 1998. 08. 01. Laparoscoplt where pgfforraed hy 5.5 mm 35 ~ optical de~ico and one additional. 5.5 mm instrummt. When appendidtis was ascertained, Ihe 12ram troac.'tr for endoscopic stapler iu the hfpogsstrium was introduced. Laparoscopic appcndectom 7 where done on I9 male patients and 33 female patients under 50 with suspect appendicitis. 1.aparoscopie diagnoses, morphological diagnoses and variance bet,,con hpatosc~pie .-tad morphological diagnoses where anaIyzed &Jfing prospective comparative rest:etch.Results. in fi~de gro~ (n-33, 100%) 28 (90%) different acute appcndidti~ forms (1.4(43%) -phlegmtmose, 10(30%) -chronic with e:,:acerbadtm, 3 (9%) -gangrenose)) and 6 (18%) nonacute inflamatioo forms (5 (15%) -chronic, l(3%)-secondary) where escort:dried. In fllis group ms ~ptndettom 3 due to variance ~vas made in 6(18%) cases. In ~ak gmtp (a-Ig) following acute appendicitis forms where ascertained: iti(85%) -phlcgmonosq 2 (10%) -gangrcnosc, in 1 (5%) c~e d~:onic appendidds was identifi=L Variance between lap.xoscopic and ,norphologieaI diagnoses in male group where ~eertain~ in I(5%) c~ses, when rtgalhr aflptr~b#oray was mad,"Conclusions. Due to Iaparoscopic mist~e negative appendectomy rate nn female padcnts under 50 is 1deer (18%) than on male padents grtmp under 50 t' s' /o).The aim of this study is to evaluate the advantages of laparoseopic appcndicectomy compared to the open technique. We studied retrospectively 301 appendlcectomles performed at the Patologia Chlrurgiea of the University of Ancona: 193 laparoscopic (83 females and 110 ma]es) and 108 by open technique (37 females and 71 males). Tile conversions (I5 cases) (7.7%) were due to abdominal abscess or to difficult mobilisation of appendix. We pcrformed associated laparoscopic operations (ovariectomy, choleeistectomy, hemi.', repair) in 10 cases (5.2%). The difli'rence of men= postoperative lime was not significant. The postoperative pair was minimal in the laparoscopic appendicectmny. The meat postoperative stay was 2.5 days for the laparoscu,lic appmact' and 5 days for the open surgery. The bowel movement startec in the first day and in the third day respectively "die die era intake began in the second day for the laparoscopk appendicectomy and in third day for the open surgery. Mine. complications were 3.6% in laparoscopic approach and 5.2% in open.. Major complications, which required reoperation where: 3 (1.5%) postoperative abdominal abscess, hcmopcritoneum (0.5%) in laparoscopic access and 3 (2.8 ~ in open. At the follow up there were 2 (1%) hernia at the pot sldo and 4 (3.7%) incislonal hernia in open technique whicl required reoperation. Laparoscopic appcndicectomy is a saf technique whi...

Application of Modified Lowa Model Evidence Based Practice on Trauma Care Nurses Regarding Head Injury

“…Nurses are experts who help people. now under increasing pressure from patients and healthcare companies to offer highquality, accountable care [2].…”