Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic appendectomy for complicated appendicitis

R C Frazee1, W T Bohannon

  • 1Division of General Surgery, Scott & White Clinic, Temple, Tex., USA.

Archives of Surgery (Chicago, Ill. : 1960)
|May 1, 1996
PubMed
Summary

Laparoscopic appendectomy is feasible for gangrenous and perforating appendicitis, though perforating cases show higher complication rates. This study evaluated laparoscopic appendectomy outcomes for these severe appendicitis types.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Portal vein aneurysm: a rare occurrence.

Journal of vascular nursing : official publication of the Society for Peripheral Vascular Nursing·2011
Same author

Outcome of venous stasis ulceration when complicated by arterial occlusive disease.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2002
Same author

Carotid endarterectomy in women: challenging the results from ACAS and NASCET.

Annals of surgery·2001
Same author

Economic considerations for aortic surgery: retroperitoneal approach--is it worth it?

Acta chirurgica Belgica·2001
Same author

Management of ectatic, nonaneurysmal iliac arteries during endoluminal aortic aneurysm repair.

Journal of vascular surgery·2001
Same author

Retroperitoneal approach for aortic surgery: is it worth it?

Cardiovascular surgery (London, England)·2001

Area of Science:

  • Surgical Gastroenterology
  • Minimally Invasive Surgery
  • Appendicitis Management

Background:

  • Acute gangrenous and perforating appendicitis traditionally carry high risks of postoperative complications.
  • These severe forms of appendicitis have often been viewed as contraindications for laparoscopic appendectomy.

Purpose of the Study:

  • To assess the complication rate associated with laparoscopic appendectomy in patients diagnosed with gangrenous or perforating appendicitis.

Main Methods:

  • A retrospective analysis was conducted on patients who underwent laparoscopic appendectomy.
  • Data were collected from a multispecialty clinic setting.

Main Results:

  • Fifteen patients with gangrenous appendicitis had a 7% morbidity rate (1 abdominal abscess).

Related Experiment Videos

  • Nineteen patients with perforating appendicitis experienced a 42% morbidity rate, including intra-abdominal abscesses (26%), wound infections (10%), and one mortality (5%) from sepsis.
  • Average operating times were similar (85 min for gangrenous, 84 min for perforating). Hospitalization was significantly longer for perforating appendicitis (7 days vs. 2 days).

    • Conclusions:

    • Laparoscopic appendectomy can be performed for gangrenous and perforating appendicitis.
    • While feasible, perforating appendicitis presents a significantly higher risk of postoperative complications, including intra-abdominal abscesses and sepsis, necessitating careful patient selection and management.