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Key-hole open appendicectomy
1Sheth VS General Hospital.
Journal of the Indian Medical Association
|May 13, 2005
Summary
This study presents a cost-effective appendicectomy technique using a small transverse incision, combining benefits of minimally invasive and open surgery. The method proved safe and effective with minimal complications in 500 patients.
Area of Science:
- General Surgery
- Surgical Innovation
Background:
- Appendicectomy is a common surgical procedure.
- Traditional methods have limitations regarding invasiveness and cost.
Purpose of the Study:
- To evaluate a novel, cost-effective appendicectomy technique.
- To assess the safety and efficacy of a small transverse incision for appendicectomy.
Main Methods:
- 500 appendicectomies performed using a specific small transverse incision.
- Analysis of procedure outcomes, including histopathology, complications, and follow-up.
Main Results:
- Maximum cases (50%) were catarrhal appendicitis.
- Retrograde appendicectomy performed in 20% of cases.
- Incision extension required in 4%, with 4% wound infection rate.
Conclusions:
- The described appendicectomy technique is safe, effective, and economical.
- It offers advantages of both minimally invasive and open surgery.
- Suitable for general surgeons without specialized setup requirements.