Zaragoza technique of laparoscopic appendicectomy

Abstract

Introduction Appendectomy is one of the most frequent emergency surgical procedures, currently with a preference for laparoscopic management worldwide. Objective To report a new laparoscopic appendectomy technique and its results. Material and methods Cohort study of patients with a diagnosis of appendicitis who are managed laparoscopically. In a total 1063 patients, 148 were operated on with the Zaragoza technique during the period from January 2002 to December 2018. The technique consists of making a window in the appendicular base between the meso and the appendicular wall, two prolene or silk sutures are placed, and the cecal appendix is cut between the two sutures, finally the mesoappendix is sectioned with a harmonic scalpel or bipolar clamp. Results From our results, we had 1.4% residual abscesses, 1.4% umbilical surgical wound infection and 0% mortality. Discussion Various laparoscopic management methods for appendectomy are reported in the literature, with a wide range in the results. We have obtained good results in patients subjected to our technique. Conclusions The Zaragoza technique for laparoscopic appendectomy is an effective and safe option that prevents excessive manipulation of the inflamed appendix and is easily reproducible.

Evaluation of the Appropriate LigaSure™ Device to Transect the Appendix—A Comparison between 5 mm and 10 mm Laparoscopic Devices in an Ex Vivo Trial

“…Since 1983, when it was first described, laparoscopic appendectomy has grown to be the procedure of choice for both simple and complicated appendicitis [ 2 , 3 ] due to lower rates of postoperative morbidity and shorter hospital stay than open surgery [ 4 , 5 , 6 , 7 , 8 ]. In laparoscopic appendectomy, a variety of techniques are frequently used to close the appendiceal stumps.…”