Related Experiment Videos
Laparoscopic cecectomy for massive appendiceal stump bleeding
T R Hackett1, M A Memon, C G Mixter
1Creighton University School of Medicine, Omaha, Nebraska, USA.
Surgical Laparoscopy & Endoscopy
|November 3, 1998
Summary
Massive bleeding from an appendiceal stump is rare. A laparoscopic cecectomy successfully treated a patient with gastrointestinal hemorrhage after appendectomy, avoiding open surgery.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Massive bleeding from an appendiceal stump is a rare but serious complication.
- Traditional management involves emergency laparotomy and resection, often leading to significant patient morbidity.
Observation:
- A 20-year-old male presented with severe gastrointestinal hemorrhage one year post-appendectomy.
- The bleeding originated from an inverted appendiceal stump.
Findings:
- The patient underwent an urgent, totally intracorporeal laparoscopic cecectomy.
- This minimally invasive approach successfully controlled the hemorrhage.
Implications:
- Totally intracorporeal laparoscopic excision is a viable alternative to open laparotomy for appendiceal stump bleeding.
- This technique offers reduced postoperative discomfort, morbidity, and hospitalization compared to traditional open surgery.