TAP blocks for laparoscopic appendicectomy - a reply

Laparoscopic Appendicectomy

Ultrasound-guided transversus abdominis plane blocks for laparoscopic appendicectomy in children: a prospective randomized trial.

BACKGROUND The effect of adding transversus abdominis plane (TAP) blocks to local anaesthetic infiltration on morphine consumption and postoperative pain in children undergoing laparoscopic appendicectomy is unknown. METHODS After random allocation, 93 children aged 7-16 were randomized to receive ultrasound-guided TAP blocks placed before surgery or not (control). All subjects had port sites...

A Study of Open Versus Laparoscopic Appendicectomy

Background:Appendicectomy has been the treatment of choice for acute appendicitis. Since advent Laparoscopic appendicectomy (LA) has struggled to prove its superiority over the open technique. This is in contrast to laparoscopic cholecystectomy, which has promptly become the gold standard for gallstone disease. Open appendicectomy (OA) has withstood the test of time for more than a century. The...

Laparoscopic appendicectomy in children: A trainee's perspective.

INTRODUCTION The emergence of operative laparoscopy has brought a great demand for training surgical residents, but there are no clear guidelines regarding choice of procedure for training, proficiency assessment and accreditation. We aim to examine from a trainee's point of view, the safety and efficacy of laparoscopic appendicectomy (LA) as a laparoscopic training procedure. MATERIALS AND M...

Laparoscopic appendicectomy in mid trimester

Appendicectomy is the commonest non obstetric indication for surgical intervention during gestation. Laparoscopic approach is proven to be superior to open surgery in gravid patients with suspected appendicitis. It excludes other pathologies that can mimic appendicitis and entail pregnancy risks and remove the inflamed appendix at the same setting which is therapeutic. We report a case of acute...