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Deep Neuromuscular Blockade Leads to a Larger Intraabdominal Volume During Laparoscopy

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Published on: June 25, 2013

Local anaesthesia for appendicectomy: one surgeon's experience.

¹Department Of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria

|June 15, 2007

Summary

Local anaesthesia for appendicectomy (appendix removal) is safe and effective, particularly in settings lacking advanced anesthetic resources. This approach minimizes anesthetic risks for patients undergoing this common surgical procedure.

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Last Updated: Jul 14, 2026

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Published on: June 25, 2013

Area of Science:

Surgical procedures
Anesthesiology

Background:

Appendicectomy can be performed under general, regional, or local anesthesia.
Local anesthesia presents the least anesthetic risks.
This report details a surgeon's experience with local anesthesia for appendicectomy.

Purpose of the Study:

To evaluate the safety and efficacy of performing appendicectomy under local anesthesia.
To share clinical experience with a specific surgical approach.

Main Methods:

A prospective study conducted in Port Harcourt, Nigeria, from July 1999 to December 2002.
Patients with acute appendicitis weighing <70 kg and opting for local anesthesia were recruited.
Lignocaine (0.5%) was used for local infiltration, with optional sedation (diazepam, pentazocine) or conversion to general anesthesia (ketamine) if needed.

Main Results:

Appendicectomy under local anesthesia was found to be safe and effective.
The procedure was tolerated by patients, with adjuncts used as necessary.

Conclusions:

Appendicectomy using local anesthesia is a viable and safe option.
Recommended for areas with limited access to modern anesthetic equipment or trained anesthetists, such as rural settings.