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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
PubMed
Summary
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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.

Related Experiment Videos

  • This technique offers reduced postoperative discomfort, morbidity, and hospitalization compared to traditional open surgery.