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Subserosal appendicular stripping.

R T Sebastian1, J Philip, S Dutta Roy

  • 1Department of Surgery, Fatima Mata Mission Hospital, Kalpetta, Kerala, India.

International Journal of Surgery (London, England)
|April 24, 2007
PubMed
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Subserosal appendicular stripping (SAA) is a surgical modification for recurrent appendicitis. This technique effectively removes inflamed, adherent appendices, preventing complications in challenging cases.

Area of Science:

  • Surgical Techniques
  • Gastrointestinal Surgery
  • Abdominal Surgery

Background:

  • Recurrent appendicitis presents surgical challenges due to inflamed and adherent appendices.
  • Standard appendicectomy can be difficult in these recurrent cases.

Purpose of the Study:

  • To describe the technique and outcomes of subserosal appendicular stripping (SAA).
  • To evaluate SAA as a modified approach for recurrent appendicitis with difficult appendices.

Main Methods:

  • SAA involves delivering the appendix from the serosa after retrograde ligation.
  • The inflamed, adherent appendix was stripped, leaving the serosa intact.
  • The procedure was performed on 49 patients with recurrent appendicitis over four years.

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Main Results:

  • All 49 patients had persistent symptoms and a history of previous appendicitis attacks.
  • No surgical complications were observed, except for transient serosal bleeding in one case.
  • The average age of patients undergoing SAA was 23 years.

Conclusions:

  • Subserosal appendicular stripping (SAA) is a safe and effective modification for appendicectomy in recurrent appendicitis.
  • SAA is advocated for cases where the appendix is inflamed and adherent, simplifying the procedure.