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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:
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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Appendicitis-I: Introduction01:22

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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...
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[Laparoscopic surgery for advanced appendicular peritonitis].

G B Ivakhov1, A V Sazhin1, I V Ermakov1

  • 1Pirogov Russian National Research Medical University of the Ministry of Health of Russia, Moscow, Russia.

Khirurgiia
|June 6, 2020
PubMed
Summary

Laparoscopic surgery for advanced appendicular peritonitis is effective, with lower postoperative morbidity compared to open surgery. This minimally invasive approach offers a safe and beneficial treatment option for patients.

Keywords:
acute appendicitisadvanced peritonitislaparoscopic appendectomyminimally invasive surgery

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Area of Science:

  • Surgical Gastroenterology
  • Minimally Invasive Surgery
  • Emergency Medicine

Background:

  • Advanced appendicular peritonitis presents significant surgical challenges.
  • Traditional open surgery can lead to substantial postoperative morbidity.

Purpose of the Study:

  • To evaluate the outcomes of laparoscopic treatment for advanced appendicular peritonitis.
  • To compare laparoscopic appendectomy with conversion to laparotomy.

Main Methods:

  • A study involving 271 patients with acute appendicitis and peritonitis.
  • Laparoscopic appendectomy performed in 231 patients; 36 underwent conversion to laparotomy.

Main Results:

  • Laparoscopic appendectomy, debridement, and drainage were successful in 85.2% of cases.
  • No mortality was observed. Postoperative morbidity was significantly lower in the laparoscopic group (29.4% vs. 72.2%).

Conclusions:

  • Laparoscopic interventions for appendicular peritonitis are feasible and effective.
  • Minimally invasive surgery significantly reduces postoperative morbidity in these patients.