Hybrid appendectomy with classic trocar on McBurney's point.

Abstract

Introduction Appendectomy is still the most commonly performed intra-abdominal operation worldwide. Interestingly, it has not reached the same popularity as other laparoscopic surgical procedures. Although multiple techniques have been described, a standard approach has not been described for the laparoscopic technique yet. Aim To perform hybrid appendectomy for acute appendicitis on McBurney’s point, aiming to perform an easier and quicker procedure while limiting the trauma to the abdominal wall by obtaining the advantages of both laparoscopic and open techniques. Material and methods We retrospectively evaluated the results of 24 patients on whom we had performed hybrid appendectomy with an optical trocar on McBurney’s point for acute appendicitis in 1 year in terms of demographics, operative time, complications, hospital stay and cosmetic results. Results Twenty-one of the patients underwent hybrid appendectomy with a one-optic trocar on McBurney’s point. The mean operative time was 21.4 ±6.2 min. We did not encounter any postoperative complications in any of the patients. The median hospital stay was 1.2 ±1.0 days. The postoperative scar was minimal. Conclusions This technique is defined in the literature for the first time, and it is easy and feasible for the surgeons. It may reduce the operative time and costs when compared to the conventional laparoscopic technique, but prospective studies with more patients are needed for more certain results.

Complicated appendicitis: risk factors and outcomes of laparoscopic appendectomy – results from Pol-LA (Polish Laparoscopic Appendectomy) multicenter large cohort study.

“…[9] Several previously published studies showed that LAs are feasible and beneficial, producing a shorter length of stay (LOS), reduced pain, decreased surgical site infection rate, shorter postoperative ileus, and a better cosmetic effect. [10,11] Moreover, LA has been shown to be safer in complicated AA than in open surgery; therefore, its use in the emergency setting is rising. [12][13][14][15][16] While challenging, discrimination between uncomplicated and complicated AA is clinically relevant as outcomes vary, with complicated cases faring worse.…”

Laparoscopic appendectomy for complicated acute appendicitis in Tikrit emergency hospital

“…In all of the cases, the CO2 was drawn from the right subphrenic space, and low-pressure pneumoperitoneum was performed. This was done in addition to minimal tissue handling and trauma, both of which contribute to a reduction in the perception of pain [11,12,13] . In addition, the shoulder pain that was caused by the remaining gas irritation was reduced.…”

“…Compared to traditional open surgery, laparoscopic appendectomy offers several advantages, including shorter hospital stays, faster return to normal activities, reduced pain levels, and improved cosmetic outcomes. Acute appendicitis, which is characterized by acute inflammation of the appendix, is a common surgical emergency with a lifetime incidence of approximately 8% [9,10,11] . The goal of this study is to assess the role of laparoscopy in the treatment of difficult appendicitis by analyzing factors such as operating time, intra-operative complications, length of hospital stay, analgesic use, time to return to oral eating, and postoperative risks.…”

Spinal/epidural block as an alternative to general anesthesia for laparoscopic appendectomy: a prospective randomized clinical study.

“…Laparoscopic appendectomy (LA) became a popular surgical procedure recently, now accounting for 38.1% of all appendectomies [ 2 , 3 ]. Fewer wound infections and hospitalization days, less postoperative pain, faster recovery and better cosmetic results are the accepted advantages of LA compared to open conventional appendectomy [ 4 – 8 ].…”