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Appendicitis

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

Appendicitis-I: Introduction

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

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Updated: Jul 2, 2026

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Published on: September 5, 2025

Port exteriorization appendectomy: is it the future?

S Adhikary¹, S Tyagi, G Sapkota

¹Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal. shaileshadhikary@hotmail.com

Nepal Medical College Journal : NMCJ

|August 15, 2008

Summary

This summary is machine-generated.

Port exteriorization appendectomy offers an effective minimally invasive approach for appendectomy, demonstrating an 86% success rate with reduced operative time and hospital stay. While complications like surgical site infections occurred, patient satisfaction remained high, with most satisfied with the cosmetic outcome.

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Last Updated: Jul 2, 2026

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Robotic-assisted Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Published on: September 5, 2025

Area of Science:

Surgical Innovation
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Traditional open appendectomy is declining.
Laparoscopic and port exteriorization appendectomy offer minimally invasive alternatives.
Port exteriorization appendectomy aims to reduce tissue trauma and operative time.

Purpose of the Study:

To evaluate the effectiveness of port exteriorization appendectomy.
To analyze the complication rates associated with this technique.
To determine the conversion rate from port exteriorization appendectomy to other methods.

Main Methods:

A prospective study of fifty patients undergoing port exteriorization appendectomy.
Data collected included operative time, conversion rate, hospital stay, complications, and patient satisfaction.
Patients underwent the procedure under general anesthesia.

Main Results:

The mean operative time was 23.3 minutes.
The conversion rate was 8.0% (4 patients).
The average hospital stay was 2.4 days, with an 86.0% overall success rate.
Surgical site infection occurred in 10.0% of patients, and 2.0% developed a pelvic abscess.
Patient satisfaction was high, with 93.6% completely satisfied, though 10.7% expressed dissatisfaction with cosmetic results.

Conclusions:

Port exteriorization appendectomy demonstrates significant efficacy with a high success rate, short operative time, and brief hospital stay.
The technique is associated with minimal complications, though surgical site infections and cosmetic concerns warrant attention.
Further randomized controlled trials comparing port exteriorization appendectomy with open and laparoscopic approaches are recommended for more definitive results.