Incidental laparoscopic appendectomy for acute right lower quadrant abdominal pain

Abstract

Laparoscopic removal of the normal appendix produces no added morbidity or increase in length of hospitalization as compared to diagnostic laparoscopy. It demonstrates cost effectiveness by preventing missed and future appendicitis. Incidental laparoscopic appendectomy is the preferred treatment option.

The significance of occult carcinoids in the era of laparoscopic appendectomies

“…Whether the use of laparoscopy should alter this practice is debated. Greason et al [1] demonstrated that laparoscopic removal of the normal appendix produces no added morbidity or increase in hospital stay compared to diagnostic laparoscopy. On the other hand, it has been shown to be safe to leave a normallooking appendix in place when a diagnostic laparoscopy for suspected appendicitis is performed, even if another diagnosis cannot be found at laparoscopy [2].…”

Caeco-peritoneal band as a potential cause of right iliac fossa pain in children

“…This approach has been documented to produce a symptom resolution in approximately 70-88 % of patients [1,[6][7][8][9]. Sometimes, specific aetiological factors, other than the appendix are identified, and, are addressed at laparoscopy.…”

Laparoscopic Appendicectomy

“…If every thing is normal, the author's preference is to take the normal appendix out. The reasons as follows a) 75% of patients get improvement in their pain symptoms [6] b) There may be a pathological inflammation, even if the appendix is grossly normal [7] c) adequate inspection of the appendix needs mobilization, which may cause trauma to the appendix and mesoappendix, where it is not advisable to leave the appendix d) In one study patients who only had diagnostic laparoscopy without removal of appendix, presented later with recurrent abdominal pain [8] e) Performing laparoscopic appendicectomy for a normal appendix is simple and quick [9] f) to avoid future appendicitis. Some surgeons prefer to leave the normal appendix to avoid the complications related to the procedure.…”