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Emergency appendicectomy in the era of laparoscopy: a one-year audit
Z Al Hilli1, R S Prichard, G Roche-Nagle
1Department of Colorectal Surgery, Beaumont Hospital, Dublin, Ireland. zalhilli@rcsi.ie
Background:
Appendicectomy for acute appendicitis is the commonest emergency surgical operation. With widespread acceptance of minimal access surgery most appendicectomies are now performed laparoscopically.
Aims:
The aim of this study was to assess whether the rate of normal appendicectomy has changed following the introduction of laparoscopic techniques in our institution.
Methods:
A retrospective study of patients having emergency appendicectomies over a 1-year period (2005) in a large teaching hospital was undertaken.
Results:
A comparison of data was made from a prior study performed at the same hospital in 1988. 196 adult patients underwent appendectomies during this period. The normal appendectomy rate was 10.2% compared to 22.8% in the previous study. This rate was twice as high in women of reproductive age as compared to men.
Conclusion:
There has been widespread uptake of laparoscopic appendectomy in our hospital. This technique has reduced the rate of histologically normal appendicectomies due to intra-operative visualization of the appendix.
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