Comparison of Laparoscopic Embedding Technique and Other Techniques for Appendiceal Stump Closure
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2019, Vol 29, Issue 3
Abstract
Aim: Acute appendicitis is the most common surgical emergency worldwide. Laparoscopic appendectomyis widely used in acute appendicitis. In our study, we aimed to investigate the efficacy and safety of laparoscopic embedding technique. Method: Patients who underwent laparoscopic embedding technique for appendiceal stump between July 2017 and December 2018 were included in the study. Acute appendicitis was diagnosed by physical examination, laboratory tests, ultrasound and computed tomography scan. Dissection of the mesoappendix was performed with a bipolar tissue sealing system, and then the appendix radix was ligated using intracorporeal knotting technique and inverted into the cecum with a suture. The patients were evaluated in terms of age, gender, body mass index (BMI), rate of conversion, operative time, postoperative complications and length of hospital stay. Results: The mean age was 34.81±1.88 years and the mean BMI was 27.51±5.44 kg/m2. The mean operative time was 61.93±17.67 minutes. Thirtytwo patients had complicated appendicitis and 39 patients had uncomplicated appendicitis. In patients with uncomplicated appendicitis, four patients developed surgical site infection and two patients had ileus; whereas two patients developed ileus and three patients developed surgical site infection in complicated appendicitis cases. The mean length of hospital stay was 38.92±25.90 hours. Conclusion: Laparoscopic embedding technique is easy, simple, safe, fast and effective for acute appendicitis and will become the method of choice in securing the base of the appendix in complicated appendicitis.
Authors and Affiliations
Mehmet Emin Güneş, Eyüp Gemici, Turgut Dönmez
Keywords
Related Articles
- EP ID EP643348
- DOI 10.4274/tjcd.galenos.2019.78857
- Views 124
- Downloads 0
Cecal Volvulus as a Cause of Acute Abdomen: A Report of Two Distinct Case
Cecal volvulus is one of the rare causes of acute abdominal pain that is life-threatening and requires urgent treatment. Herein, we present two cases of cecal volvulus with differing features. The first case was a 32-yea...
Effects of the Nanova™ Therapy System in Unroofing-Curettage and Secondary Intention Healing of Pilonidal Abscesses
Aim: Although treatment methods have been well-established for asymptomatic, chronic fistulizing, and recurrent forms of pilonidal sinus disease, there is no consensus on when definitive treatment should be performed in...
Traumatic Perforation of the Sigmoid Colon
Although it is a rare condition, traumatic colonic perforation has a significant morbidity and mortality rate. Especially in cases with sexual abuse, the patient may not give detailed information and this may cause delay...
A Rare Cause of Acute Appendicitis: Caecal Tuberculosis Mimicking Colon Cancer
Tuberculosis (TB) is an infectious disease that can involve all organs and tissues. Although pulmonary TB is more common, extrapulmonary TB is an important clinical problem due to its nonspecific symptoms. Clinical prese...
Surgical Treatment of Recurrent Colorectal Cancer: Short and Long Term Outcomes
Aim: The aim of this study was to investigate the effect of surgical margin positivity on short- and long-term outcomes in patients undergoing recurrent colorectal cancer surgery. Method: Demographics, parameters related...