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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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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...
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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One, two or three port appendectomy - a rational approach.

Andrzej Gołębiewski1, Marcin Losin, Maciej Murawski

  • 1Department of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, Poland.

Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques
|October 17, 2013
PubMed
Summary
This summary is machine-generated.

One-port laparoscopic appendectomy is a feasible and cost-effective technique for children with acute appendicitis, offering excellent cosmetic results. This approach, along with two-port variations, demonstrates shorter operative times compared to traditional three-port methods.

Keywords:
appendectomylaparoscopyone porttransumbilical

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery

Background:

  • Laparoscopic appendectomy is the standard for pediatric acute appendicitis.
  • Traditional methods use three ports, but fewer-port techniques are emerging.

Purpose of the Study:

  • To assess the efficacy of a 3-step laparoscopic appendectomy protocol using one, two, or three ports in children.
  • To evaluate operative time and complications associated with each port technique.

Main Methods:

  • 100 children with acute appendicitis underwent laparoscopic appendectomy.
  • Techniques varied from one to three ports based on appendiceal location and condition.
  • Extracorporeal resection was employed, with intra-abdominal procedures for complex cases.

Main Results:

  • 48% of patients had one-port, 27% had two-port, and 25% had three-port appendectomies.
  • Mean operative times were 33 min (1-port), 39 min (2-port), and 49 min (3-port).
  • No intraoperative complications occurred; wound infection rates were 8.3% (1-port), 11.1% (2-port), and 16.0% (3-port).

Conclusions:

  • One-port laparoscopic appendectomy is feasible in children, suitable for 48% of cases.
  • Two-port and one-port techniques offer shorter operative times than three-port.
  • Laparoscopic extracorporeal appendectomy, particularly with one port, is cost-effective with superior cosmetic outcomes.