Video-assisted transumbilical appendectomy in children

Koontz, Curt S.; Smith, Lisa A.; Burkholder, Hans C.; Higdon, K. Kye; Aderhold, Robert; Carr, Michael

doi:10.1016/j.jpedsurg.2005.12.014

Cited by 76 publications

(65 citation statements)

References 13 publications

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“…The postoperative morbidity is at least comparable with that of LA. To reduce incisional morbidity and ameliorate cosmesis, reduction in the diameter and the number of the ports used in LA has already been reported [20][21][22][23][24][25][26][27][28][29][30]. With SILA, we used one 15-mm-diameter umbilical incision, leaving virtually no scar.…”

Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience

et al. 2010

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“…13 There were six intra-abdominal abscesses across all of the studies: five were reported in four 'SPILA unassisted' papers 9,11,19,21 and one in a 'hybrid' paper. 29 In total, complication rates appear to be highest for those procedures in which SPILA is not assisted by sutures or wire. …”

Section: Complication Ratesmentioning

confidence: 98%

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Rehman¹,

Ahmed

2011

annals

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INTRODUCTION Single port/incision laparoscopic surgery (SPILS) is a modern advancement toward stealth surgery. Despite the paucity of high-quality scientific studies assessing its effectiveness, this procedure is being used increasingly. This review aims to describe commonly used techniques for SPILS appendicectomies (SPILA), to summarise complication rates in the literature and to provide discussion on indications and implementation. METHODS All available databases including the Cochrane Central Register of Controlled Trials, MEDLINE ® and Embase ™ were searched in February 2011 and cross-referenced for available English literature describing SPILA in patients of any age. RESULTS Three broad technical approaches are described: procedures using laparoscopic instruments through a single skin incision in the abdominal wall, regardless of the number of fascial incisions, with or without the additional use of percutaneous sutures or wires to 'assist' the operation, and hybrid procedures, in which the appendix is exteriorised using a single incision laparoscopically assisted operation but subsequently divided using a conventional 'open' appendicectomy technique. Complication rates seem to be highest in SPILA procedures unassisted by sutures or wires. CONCLUSIONS Future research assessing the efficacy of single incision laparoscopic procedures should consider variation in technique as a possible factor affecting outcome.

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“…37,38 There was an earlier return to normal activity in the patients who underwent laparoscopic appendectomy compared to those who went through open appendectomy. This was supported by a large scale meta- 39 This was because the incision were of minimal trauma and less pain. 40 Thereby the recovery was faster.…”

Section: Discussionmentioning

confidence: 85%

Comparison of the complications between laparoscopic and open appendectomy: a study in a teaching hospital in Telangana, India

Kumar

Lekkala

2016

Int Surg J

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INTRODUCTIONOpen appendectomy has been a safe and effective operation for acute appendicitis for over a century. It is one of the most frequently performed abdominal operation. It is estimated that approximately 7% of the population develop appendicitis in their life time. 1Laparoscopic surgery for appendectomy was first introduced in 1983 by Semm, but since then, it has struggled to prove its superiority over open appendectomy, while its counterpart, laparoscopic cholecystectomy has become a gold standard technique for gall stone disease. 2,3 Open appendectomy has withstood the test of time for more than a century, since its introduction by McBurney. 4 This procedure is standardized among the surgeons and is completed using a small right lower quadrant incision unlike the open cholecystectomy. The number of post-operative Results:The mean operating time in the laparoscopic group was 68 minutes while in the open group it was 55 minutes. The number of analgesic doses given to the patients was 2.4 in the laparoscopic group and 3.6 in the open group. The intake of the oral foods was also faster after the laparoscopy than after open surgery while the hospital stay was lesser. Post-operative complications observed in the laparoscopic surgery patients were diarrhea in 2 patients, one case of urinary tract infection, post-operative bleeding, surgical site infections and intra-abdominal abscess. Among the open group patients, 4 patients had surgical site infection and 3 had diarrhea. 2 patietns had intraabdominal abscess and intraoperative bleeding. Conclusions: Laparoscopic appendectomy is an effective and safe procedure which can be performed on any kind of patient regardless of the age, sex and BMI.

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Video-assisted transumbilical appendectomy in children

Cited by 76 publications

References 13 publications

Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience

Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience

Technical approaches to single port/incision laparoscopic appendicectomy: a literature review

Comparison of the complications between laparoscopic and open appendectomy: a study in a teaching hospital in Telangana, India

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