Post-surgical outcomes of laparoscopic appendectomy observed at BIRDEM hospital

Maitra, Tapash Kumar; Ekramullah, Mahmud; Faruquzzaman,; Mondol, Samiran Kumar

doi:10.3329/imcjms.v11i1.31933

Cited by 3 publications

(5 citation statements)

References 10 publications

(25 reference statements)

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“…Other non-septic complications include pain (70%), pain and bleeding (10.8%) and adhesions (2.3%). As compared to another study, the most common postoperative complications were post site bleeding (4.3%) and wound infection (2.1%) 16 while one study showed no postoperative complications. 1…”

Section: Discussionmentioning

confidence: 56%

“…15 In a research conducted at Bangladesh it was observed that port-site bleeding and infection were in 4.3% and 2.1%, respectively. 16 Port site incisional hernia is the complication of single incisional laparoscopic surgery that is 2.9% according to the study that was conducted at tertiary center in Bronx, New York. 17 Histopathological examination of the appendix serves two purposes.…”

Section: Introductionmentioning

confidence: 99%

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Spectrum of postoperative complications and histopathological findings of appendectomy in Rehman Medical Institute from 2017-2018

Khan¹,

Ateeq²,

Shamim³

et al. 2020

J REHMAN MED INST

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Introduction: Documentation of post-appendectomy complications along with histopathological findings help in clinical management of acute appendicitis. Objective: To determine the postoperative complications occurring in appendectomy patients of a tertiary care hospital of Peshawar, Khyber Pakhtunkhwa, based on two-years archival data. Materials & Methods: A descriptive study was conducted at Rehman Medical Institute, Peshawar, from January to February 2019 on 130 archival cases of appendectomies done from 2017-2018 to document postoperative complications and histopathological findings. Data were collected on a structured Performa consisted of demographic data, symptoms, complications, investigations performed, preoperative position of appendix, pathology and comorbidities. Descriptive data analysis was done with SPSS 25.0. Results: The most common age group for acute appendicitis was 19 years (n=9, 6.9%) followed by 40 years (n=8, 6.2%); more patients were males (n=73, 56.15%) compared to females, (n=57, 43.85%). Patients presented with the common complaint of pain in right iliac fossa with nausea, (n=102, 78.5%), followed by generalized abdominal pain (n=20, 15.4%) and epigastric pain and vomiting (n=8, 6.2%). Retrocecal appendix was the most frequent site (75.4%); 52.3% of patients did not develop any postoperative complication. Conclusion: Wound infection and pain were the commonest complications after surgery. Malignancy was rare. Keywords: acute appendicitis, postoperative complications, histopathological finding, wound infection.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Spectrum of postoperative complications and histopathological findings of appendectomy in Rehman Medical Institute from 2017-2018

Khan¹,

Ateeq²,

Shamim³

et al. 2020

J REHMAN MED INST

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“…There was controversy in the literature regarding the most appropriate way of appendectomy, making the upper hand for laparoscopic appendectomy [LAp] [4,5]. Laparoscopic appendectomy has been widely applied as the treatment of choice for complicated and uncomplicated appendicitis.…”

Section: Introductionmentioning

confidence: 99%

“…Laparoscopic appendectomy has been widely applied as the treatment of choice for complicated and uncomplicated appendicitis. Early diagnosis and timely surgical intervention can reduce the morbidity and mortality rates [1,2,4,5]. Many advantages of LAp have been reported as it requires small incisions with better visualization and access for intra-abdominal organs, as well as fast recovery in the post-operative period.…”

Section: Introductionmentioning

confidence: 99%

Modified glove single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adolescent age under spinal anesthesia

et al. 2020

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Background The glove single-port laparoscopic appendectomy is a novel single incision laparoscopic technique (SILT) which is extremely cheaper than the other commercial devices. Objective This study aimed to compare conventional laparoscopic appendectomy (CLA) and glove single port laparoscopic appendectomy (GSPLAP) in adolescents performed under spinal anaesthesia (SA). Patients and Methods Forty-eight adolescents with uncomplicated appendicitis were included in the current study. All patients were randomized into 2 groups. Group A was operated upon by GSPLAP and group B, was operated upon using CLA. All cases were done under SA. Results Forty-eight adolescents were treated either by GSPLAP or LAP during the period from September 2017 to August 2018. They were 30 males and 18 females with a mean age 14.8 ± 2.2 years (range = 12-18 years). All procedures were completed laparoscopically without conversion. Only 2 cases of group A were converted to CLA. The mean operative time was 35.14 ± 12.14 min (range = 26-80 min) for CLA and 50.3 ± 11.2 min (range = 40-88 min) for GSPLAP. SA was successful in 44 cases [91.7%], while 4 patients [8.3%] were converted to general anaesthesia [GA]. Post SA headache was reported in 3 cases. Post-operative umbilical cellulitis occurred in two cases. Conclusion Our modification of Glove Single Port is technically feasible. The GSPLAP is a new SILT which is cheaper than other single incision laparoscopic devices in the market. This study proved that SA for laparoscopic appendectomy (LAp) is a good substitute of GA in adolescents.

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“…Pathology department gets hundreds of appendectomy specimens a year. 7,8 The present observational study was conducted prospectively to investigate the unusual incidental histopathological findings in…”

Section: Introductionmentioning

confidence: 99%

Appendectomy

Pathan¹,

Shaikh²,

Shaikh³

2018

TPMJ

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Subjects & Methods: 300 appendectomy specimens were investigated. Biodata of patients on Pathological proforma and specimens was noted. 3-5 µ tissue sections of appendectomy were stained with H & Eosin stain for microscopy. Data was analyzed on SPSS version 22.0 (USA) at 95% CI (P ≤ 0.05). Results: Male to female ratio was 3.61:1 (P=0.0001). Mean (± SD) age was 19.5±5.7 years. Acute appendicitis was noted in 57.66% of specimens. Unusual histopathological findings noted were adenocarcinoma, endometriosis, Crohn`s disease, carcinoid tumors and Enterobius vermicularis. Conclusion: Unusual incidental findings emphasize the importance of histopathological examination of appendectomy specimen for proper diagnosis and timely intervention.

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Post-surgical outcomes of laparoscopic appendectomy observed at BIRDEM hospital

Cited by 3 publications

References 10 publications

Spectrum of postoperative complications and histopathological findings of appendectomy in Rehman Medical Institute from 2017-2018

Spectrum of postoperative complications and histopathological findings of appendectomy in Rehman Medical Institute from 2017-2018

Modified glove single-port laparoscopic appendectomy versus conventional laparoscopic appendectomy in adolescent age under spinal anesthesia

Appendectomy

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