Laparoscopic Appendicectomy: Case Reports of Vascular Injury in 2 Children

Juricic, M.; Bossavy, Jean-Pierre; Izard, Ph.; Cuq, P.; Vaysse, P.; Juskiéwenski, S

doi:10.1055/s-2008-1066126

Cited by 22 publications

(8 citation statements)

References 5 publications

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“…As shown by our results, postsurgical complications are theoretically reduced in laparoscopy; however, the most common ones are infections, small hematomas, or epiploic evisceration [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 97%

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Complications and conversions of pediatric videosurgery: The Italian multicentric experience on 1689 procedures

et al. 2002

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We believe that the routine use of open laparoscopy in pediatric patients is a key factor to avoiding complications related to the Veress needle and blind introduction of the first trocar. Moreover, the surgeon's laparoscopic experience, the correct indications for laparoscopic surgery, and the verification of the laparoscopic equipment before surgery are also important rules to follow to reduce the incidence of complications. In the beginning, it is preferable to have the assistance of an expert laparoscopic surgeon to decrease the complications related to the learning curve period.

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Section: Discussionmentioning

confidence: 97%

“…In our opinion, a blunt and delicate dissection, with the aid of a bipolar coagulation or ultrasonically activated scalpel, can totally eliminate the need for conversion, provided that the indications for laparoscopic intervention are correct [16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Complications and conversions of pediatric videosurgery: The Italian multicentric experience on 1689 procedures

et al. 2002

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“…Veress needle punctures are generally safe and require no further treatment, whereas lesions caused by a trocar can have catastrophic consequences [1,4,10]. Bleeding caused by lesions of the abdominal wall vessels generally clot spontaneously; a ligation may be necessary only if the lesion involves the epigastric vessels.…”

Section: Discussionmentioning

confidence: 99%

Complications of pediatric laparoscopic surgery

et al. 1997

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“…Serious complications including urological, 14 major vessel injury, 15 and incomplete appendectomy may occur. 16 If there is any doubt about the anatomy, conversion to an open operation is strongly recommended.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Appendectomy with Appendix Mass in Children

Banieghbal¹,

Alhindi²,

Davies³

2004

Pediatric Endosurgery & Innovative Techniques

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Laparotomy for complicated appendicitis with a mass has been the traditional approach in the presence of acute lower abdominal pain, generalized peritonitis, and fever. Generous right iliac fossa incisions are routinely done to deal with these cases, as the appendectomy can be difficult due to visceral adhesion, omental wrapping, and early abscess formation within the mass. Laparoscopic appendectomy can result in decreased pain due to smaller wounds, as well as providing superior cosmesis.In a two-year study, 11 patients with appendicular masses were treated by laparoscopy. The procedure took an average of 120 6 20 min. All patients were ambulatory within 2 days. Hospital stay postsurgery was an average of 6 days. There was a single minor umbilical wound infection.Laparoscopic appendectomy can be recommended even in the presence of a preoperatively diagnosed appendicular mass and/or abscess. It does take longer than an open procedure, while cosmesis is superior and postoperative pain is less.

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Laparoscopic Appendicectomy: Case Reports of Vascular Injury in 2 Children

Abstract: The authors report 2 similar cases of serious vascular injury occurring during laparoscopic appendicectomy. These cases stress the potential risk of major accidents with laparoscopic surgery. There should be great care in the choice of indications and during the procedures.

Cited by 22 publications

References 5 publications

Complications and conversions of pediatric videosurgery: The Italian multicentric experience on 1689 procedures

Complications and conversions of pediatric videosurgery: The Italian multicentric experience on 1689 procedures

Complications of pediatric laparoscopic surgery

Laparoscopic Appendectomy with Appendix Mass in Children

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