Endoscopic Appendectomy

Abstract

These newly developed endoscopic methods in gynaecology for haemostasis during surgical pelviscopy (Endocoagulation Roeder-loop ligation, endoligature, endo-suture with intra- and extracorporeal knotting) make it possible to carry out appendectomy by endoscopy for any of the following indications: Postoperative adhesion of the appendix especially in "sterility" patients, elongated appendix extending into the small pelvis, endometriosis of the appendix, subacute and chronic appendicitis. The instrument-set employed in this method permits the performance of all the usual classical operative steps (purse-string suture, and Z-suture acc. to McBurney and Sprengel). The point for resection has to be sterilized over 20-30 sec. at 212 degrees F using the crocodile forceps (endocoagulation procedure) before division and extraction of the appendix is effected.

A Technique of Single-Incision Laparoscopic Appendectomy Using Conventional Multiport Laparoscopic Instruments (SILACI): Preliminary Experience of 32 Cases

“…Though it can be performed by various novel surgical approaches and routes, open and multiport laparoscopic appendectomy are established modalities of treatment. The first laparoscopic appendectomy was performed by Kurt Semm of Switzerland in 1980 [10]. However, the procedure was not popularized until the introduction of laparoscopic cholecystectomy in 1985 [10][11][12].…”

“…The first laparoscopic appendectomy was performed by Kurt Semm of Switzerland in 1980 [10]. However, the procedure was not popularized until the introduction of laparoscopic cholecystectomy in 1985 [10][11][12]. Conventional open appendectomy was done through classical McBurney's incision or right paramedian incision for centuries [13].…”

Single-incision laparoscopic appendectomy versus conventional laparoscopy in adults. A systematic review

“…During many years the treatment was carried out by open appendectomy, but this changed with the advent of the first laparoscopic appendectomy carried out by Semm in 1983 [4][5][6] . Since then, such procedure would become the treatment of choice for this pathology 7,8 because the granted benefits, such as shorter hospital stays, faster recovery and less morbidity and post-surgical pain compared to the traditional open surgery [9][10][11][12] .…”

Stumped; the Achilles of Laparoscopic Appendectomy

“…However, the introduction of laparoscopic appendectomy in the 1980s advanced the tide of change toward minimally invasive surgery. 3 Its popularity evolved at a time when there was an emphasis on "new" techniques coupled with reduced length of stay in hospital. The advantages of the approach included better visualization of the abdomen, less postoperative pain, faster recovery, reduced hospital stay, better cosmesis, and reduced wound infections.…”