Acute Appendicitis-Laparoscopic Appendectomy and Reasons for Conversion

Diagnosing granulomatous disease during appendectomy

“…Since the most important factors for the surgeon to make a conversion decision are the prolongation of the period and the presence of a "severe" inflammation picture, as expected in granulomatous diseases. 8 , 32 , 33 , 34 , 35 , 36 However, in these studies, the degree of inflammation was evaluated with standard classification and was not expressed as indicating a specific disease. 36 In a few of them, it has been reported that the risk of conversion is high in appendicitis surgeries involving "fibrotic adhesions".…”

“… 36 In a few of them, it has been reported that the risk of conversion is high in appendicitis surgeries involving "fibrotic adhesions". 32 , 35 In an article, inflammation related conversion is expressed as Grade 4–5. 32 Still, it is unclear whether granulomatous diseases were also taken into account in this evaluation of inflammation classification.…”

“…The literature data regarding the conversion of laparoscopic appendectomy to laparotomy may be meaningful in terms of finding information about the characteristics of granulomatous appendicitis. Since the most important factors for the surgeon to make a conversion decision are the prolongation of the period and the presence of a "severe" inflammation picture, as expected in granulomatous diseases 8,32‐36 . However, in these studies, the degree of inflammation was evaluated with standard classification and was not expressed as indicating a specific disease 36 .…”

“…However, in these studies, the degree of inflammation was evaluated with standard classification and was not expressed as indicating a specific disease 36 . In a few of them, it has been reported that the risk of conversion is high in appendicitis surgeries involving "fibrotic adhesions" 32,35 . In an article, inflammation related conversion is expressed as Grade 4–5 32 .…”