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Residual appendicitis following incomplete laparoscopic appendectomy
S Marcoen1, T Onghena, C Van Loon
1Department of general surgery, A.Z. St. Lucas, Ghent, Belgium.
Abstract:
Growing popularity of laparoscopic interventions must bring along a thorough knowledge of possible complications inherent to the laparoscopic technique. With these two cases of residual appendicitis following incomplete appendectomy, the authors want to warn for this complication. Surgeons should be aware of residual appendicitis as a possible cause of acute abdomen at any time following a laparoscopic appendectomy.
Insights
Laparoscopic appendectomies can rarely lead to residual appendicitis, a complication where part of the appendix remains. Surgeons must consider this possibility when diagnosing acute abdomen after laparoscopic surgery.
Area of Science:
- Surgical techniques
- Gastrointestinal surgery
- Minimally invasive surgery
Background:
- Laparoscopic surgery is increasingly common.
- Knowledge of potential complications is crucial.
- Incomplete appendectomy is a known risk.
Observation:
- Two cases of residual appendicitis after laparoscopic appendectomy are presented.
- Patients experienced acute abdomen post-surgery.
- The remaining appendix caused recurrent symptoms.
Findings:
- Residual appendicitis can occur despite laparoscopic appendectomy.
- It presents as a delayed or recurrent acute abdomen.
- Early recognition is key for effective treatment.
Implications:
- Laparoscopic surgeons must be vigilant for residual appendicitis.
- Consideration of this complication aids timely diagnosis.
- Awareness improves patient outcomes following laparoscopic procedures.