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Laparoscopic bipolar strip-tease appendicectomy. A new endosurgical technique
1Department of Surgery, Royal Childrens Hospital, Parkville, Victoria, Melbourne, Australia.
Surgical Endoscopy
|December 1, 1995
Summary
This study presents a safe and effective laparoscopic appendicectomy technique using bipolar forceps for pediatric acute appendicitis. The "stripping and teasing" method minimized complications, proving efficient even in severe cases.
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Laparoscopic appendicectomy is a standard surgical procedure.
- Various techniques exist for laparoscopic appendicectomy.
- The need for safe, efficient, and minimally invasive methods persists.
Purpose of the Study:
- To describe and evaluate a novel "stripping and teasing" laparoscopic appendicectomy technique.
- To assess the safety and efficacy of this technique in pediatric patients.
Main Methods:
- A 5-mm bipolar forceps was used for simultaneous coagulation and cutting of tissue.
- Fifty pediatric patients with acute appendicitis underwent this technique.
- The procedure was termed "bipolar laparoscopic striptease appendicectomy".
Main Results:
- No intraoperative bleeding complications were reported.
- Only two cases of postoperative abscesses occurred in the series of 50 patients.
- The technique demonstrated high safety and effectiveness.
Conclusions:
- The bipolar laparoscopic striptease appendicectomy technique is safe, quick, and effective.
- This method is suitable for treating acute appendicitis in pediatric patients, including severe cases.