A Comparative Study on Removal of Appendectomy Specimen during Laparoscopy.

Area of Science:

• Surgical techniques
• Minimally invasive surgery
• Gastrointestinal surgery

Background:

• Laparoscopic appendectomy is a common procedure for appendicitis.
• Specimen removal techniques can influence patient outcomes.
• Evaluating different methods is crucial for optimizing surgical practice.

Purpose of the Study:

• To compare four laparoscopic appendectomy specimen removal techniques.
• To identify the most effective method regarding patient morbidity and hospital stay.
• To analyze the impact of glove type (powdered vs. powder-free) on surgical outcomes.

Main Methods:

• A comparative study involving 151 patients undergoing laparoscopic appendectomy.
• Assessment of four distinct specimen removal techniques.
• Analysis of clinical data including C-reactive protein (CRP) levels and hospital stay duration.

Main Results:

• Direct removal was preferred in younger patients, while endo bags were common in the elderly.
• The powdered glove group showed lower median CRP levels (p=0.025).
• Longer median hospital stays were observed in both powder-free and powdered glove groups (p<0.001), with powdered gloves showing higher median stays.

Conclusions:

• Direct removal is recommended for laparoscopic appendectomy due to reduced catheterization and shorter hospital stays.
• The powdered glove technique, despite potential CRP benefits, is associated with prolonged hospital stay and catheter use, making it the least favorable method.
• Technique selection should consider patient factors and potential impacts on recovery and morbidity.