"Misra's appendicular hitch" stich - Innovative technique for simplifying endo-suturing during laparoscopic...

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic appendectomy is standard for appendicitis.
• Managing the appendix base often uses suture transfixation or free tie ligation.
• These methods are challenging for novice surgeons and with friable appendices, especially in low-resource areas.

Purpose of the Study:

• To present an innovative technique for laparoscopic appendectomy.
• To simplify the management of the appendix base during the procedure.
• To aid surgeons, particularly novices, in low-resource settings.

Main Methods:

• A novel technique involving transfacial suture suspension of the appendix is described.
• This method facilitates easier suture placement at the appendix base.
• The technique is designed for laparoscopic appendectomy.

Main Results:

• The transfacial suture technique offers a simpler approach to securing the appendix base.
• It addresses the technical difficulties encountered with long, friable appendices.
• The method aims to improve ease and efficiency for surgeons.

Conclusions:

• The transfacial suture suspension is an innovative and practical technique for laparoscopic appendectomy.
• It enhances the management of the appendix base, especially in challenging cases.
• This method holds promise for improving surgical outcomes in resource-limited environments.