Day case emergency laparoscopic appendectomy

Gilliam, A. D.; Anand, Rohan; Horgan, Liam; Attwood, S. E. A.

doi:10.1007/s00464-007-9492-5

Cited by 34 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…have shown LA to be safe and effective even in day care setting for selected patients. [21] In this study, no one patient developed wound infection and this matches well with that published by other authors. [2122] Wound infection has been reported to be lower with LA as compared to open appendectomy.…”

Section: Discussionsupporting

confidence: 92%

“…[21] In this study, no one patient developed wound infection and this matches well with that published by other authors. [2122] Wound infection has been reported to be lower with LA as compared to open appendectomy. [223] This is attributed to the technique of appendix removal, as removal in endobag or reducer sleeve avoids any contact between the inflamed appendix and wound.…”

Section: Discussionsupporting

confidence: 92%

See 1 more Smart Citation

Suprapubic approach for laparoscopic appendectomy

2013

View full text Add to dashboard Cite

Objective:To evaluate the results of laparoscopic appendectomy using two suprapubic port incisions placed below the pubic hair line.Design:Prospective hospital based descriptive study.Settings:Department of surgery of a tertiary care teaching hospital located in Rohtas district of Bihar. The study was carried out over a period of 11months during November 2011 to September 2012.Participants:Seventy five patients with a diagnosis of acute appendicitis.Materials and Methods:All patients underwent laparoscopic appendectomy with three ports (one 10-mm umbilical for telescope and two 5 mm suprapubic as working ports) were included. Operative time, conversion, complications, hospital stay and cosmetic results were analyzed.Results:Total number of patients was 75 which included 46 (61.33%) females and 29 (38.67%) males with Mean age (±Standard deviation {SD}) at the time of the diagnosis was 30.32 (±8.86) years. Mean operative time was 27.2 (±5.85) min. One (1.33%) patient required conversion to open appendectomy. No one patient developed wound infection or any other complication. Mean hospital stay was 22.34 (±12.18) h. Almost all patients satisfied with their cosmetic results.Conclusion:A laparoscopic approach using two supra pubic ports yields the better cosmetic results and also improves the surgeons working position during laparoscopic appendectomy. Although, this study had shown better cosmetic result and better working position of the surgeon, however it needs further comparative study and randomized controlled trial to confirm our findings.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Suprapubic approach for laparoscopic appendectomy

2013

View full text Add to dashboard Cite

show abstract

“…For non-operated patients with a high score, etiologies such as constipation, ileitis, functional GI complaints, and gynecologic pathology were associated with spontaneous regression of laboratory signs of inflammation and of the Alvarado score over the course of several hours. For patients with a score greater than 6, there were indications for urgent operation in 97% [18]. Only 3% were observed without surgery.…”

Section: Discussionmentioning

confidence: 97%

The use of the Alvarado score in the management of right lower quadrant abdominal pain in the adult

Pouget-Baudry

Mucci

Eyssartier

et al. 2010

Journal of Visceral Surgery

View full text Add to dashboard Cite

show abstract

“…There are several studies describing early discharge after both open and LapAppy [8][9][10], but these studies are retrospective in nature and have variable definitions of "outpatient" (usually involving 23-hour observation, hence overnight hospitalization) and lack a formal patient selection protocol. The surgical team at Miami Children's Hospital had been sending patients home within hours of appendectomy on a sporadic basis for several years with good results.…”

mentioning

confidence: 99%