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No clip, no ligature laparoscopic appendectomy.
Subhash Khanna1, Sushil Khurana, Sanjeer Vij
1Kalyani Hospital, Haryana, India. bhawanaawasthy@hotmail.com
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|October 9, 2004
Summary
Laparoscopic appendectomy using bipolar coagulation offers a simple, economical alternative for appendicitis treatment. This technique reduces surgery time and eliminates the need for extra surgical tools and materials.
Area of Science:
- General Surgery
- Minimally Invasive Procedures
Background:
- Laparoscopic appendectomy (LA) is a common general surgery procedure.
- Bipolar coagulation (BC) is established in gynecology but not widely used for intestinal procedures.
Purpose of the Study:
- To present and evaluate a novel technique for laparoscopic appendectomy using bipolar coagulation.
- To assess the feasibility and outcomes of LA with BC.
Main Methods:
- A technique involving identifying the appendix and coagulating the appendicular stump with BC until a constriction ring forms.
- Sixty patients with acute or recurrent appendicitis underwent the procedure.
Main Results:
- Median BC duration was 90 seconds.
- Median surgery duration was 25 minutes.
- Median postoperative hospital stay was 3 days, with oral feeds by 12 hours.
Conclusions:
- Laparoscopic appendectomy using bipolar coagulation is a simple, economical, and effective technique.
- This method potentially reduces operative time and eliminates the need for ligatures or clips.