Search published articles


Showing 3 results for Laparoscopic Appendectomy

Nereo Vettoretto, Ayman Ismail, Giovanetti Maurizio,
Volume 2, Issue 2 (5-2013)
Abstract


Ahmed E Lasheen, Osama Abd Elaziz, Salah Abd Elaal, Mohammed Alkilany, Basem Sieda, Tamer Alnaimy,
Volume 5, Issue 2 (6-2016)
Abstract

Background

Despite the reported advantages of laparoscopic appendectomy (LA), an ongoing debate exists about a possible increase in postoperative infectious complication rates. The analyses of risk factors associated with surgical site infections (SSIs) after LA, have been limited.

Patients and Methods

One hundred twenty laparoscopic appendectomies performed over one year, were included in this retrospective study. The patients were divided into 2 group; group A was the one in which LA was done with using reusable retrieval bag and group B without using that. Demographic details, operative time, hospital stay and infective postoperative complications were recorded.

Results

This patient groups were selected to be similar in both groups A and B in form of appendicitis types. Each group included 27 (45%) acute catarrhal appendicitis, 20 (33.3%) suppurative appendicitis and 13 (21.7%) perforated appendicitis, P = 1.0. The median patients ages were 21 years (range, 16 to 49) in group A and 25 years (range, 18 to 56) in group B, P = 0.053. Group A included 60 patients (35 males and 25 females) and group B 60 patients (32 males and 28 females), P = 0.071. Mean operative time in group A was 55.7 minutes and in group B was 57 minutes, P = 0.0231. Superficial wound infections were recorded in one patient (1.7%) in group A and in 8 patients (13.3%) in group B, P = 0.007. Intra-abdominal abscess formation was a complicated outcome in 2 patients (3.3%) of group B, P = 0.005. Mean hospital stay was 1.6 days in group A and 2.7 days in group B, P = 0.05.

Conclusions

Surgical wound infections are less common by using reusable retrieval bag during laparoscopic appendectomy procedure. Also, using reusable retrieval bag has less cost.


Mohammad Kermansaravi, Sattar Darabi, Foolad Eghbali, Samaneh Rokhgireh, Abdolreza Pazouki,
Volume 6, Issue 1 (2-2017)
Abstract

Background

Laparoscopic appendectomy (LA) has become the standard choice for acute appendicitis. Several techniques to close the appendiceal stump were investigated, and use of polymeric clips, are shown safe and cost effective.

Objectives

Evaluation of the efficacy and safety of appendiceal stump closure with polymeric clips in LA.

Methods

This is a retrospective cohort study included 35 patients who underwent LA, between April 2013 and August 2016 in Rasool-e-Akram university hospital. appendiceal stumps ligation were performed by polymeric clips. One month follow up after surgery was performed for all patients. Demographic information of patinets, surgery, complications, readmission and pathological reports, were collected from medical records and data base.

Results

Thirty-five patients were included in this retrospective study. Nineteen patients were male and 16 patients were female (54.3% vs 45.7%). The mean age was 28.49 ± 9.56 years, mean operative time was 59.6 ± 11.8 minutes and mean hospitalization was 2.54 ± 0.7 days. There was no intraoperative complication and intraabdominal abscess formation. Also no readmission and no perioperative death were recorded in documents. In pathologic reports, there were 15 (42.8%) suppurative and one gangrenous (2.8%) appendicitis.

Conclusions

Application of polymeric clips for stump ligation is safe, cost effective and time saving, and could be used as favorable technique in LA.



Page 1 from 1     

© 2025 CC BY-NC 4.0 | Annals of Bariatric Surgery

Designed & Developed by : Yektaweb