Laparoscopic Appendicectomy; Clip-closure of Appendix Stump

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.INTRODUCTION preference by most of surgeons at least in developed 4 Acute appendicitis is most common surgical emergency. countries . The cost of laparoscopic procedure is more 5 Although most commonly described as disease of than open appendicectomy in most of published studies . childhood but can affect any age group. Its incidence is The price of Endo-loop and Endo-GIA is one of major roughly 6-12%. It is slightly more common in males as contributing factor in cost. The most laparoscopic compared to females. The life time risk is about 8%. appendectomies in our country, Pakistan are done in 6 Clinical presentation of acute appendicitis is very private hospitals and cost is borne by patients . Different variable because of multiple factors like age, position and techniques have been described by different authors for degree of inflammation. The classical presentation of LA in respect to port placement, handling the base of acute appendicitis is central abdominal pain which shifts appendix, division of mesoappendix and removal of to right iliac fossa. Appendicectomy is one of the appendix. We have looked into an alternative for 7,8,9 commonest general surgical procedures. In 1889 C. Endoloop and Endo GIA i.e., closure of stumps by clips 1,2 McBurney presented a report on early operative (Liga clip extra by Ethicon). intervention in acute appendicitis to the New York Surgical Society and five years later he formalized the MATERIAL AND METHODS 2 procedure and described McBurney’s incision . The gold All patients who presented to us in 9 months time standard treatment of acute appendicit is is (October 2009 to June2010) with acute appendicitis had appendicectomy. First laparoscopic appendicectomy laparoscopic appendicectomy and all of these had stump 3 (LA) was reported in 1983 by a German Gynaecologist . closure by clips. All these patients were under single With the advancement in surgical techniques consultant and surgery was performed by same laparoscopic appendectomy has attained first consultant surgeon but these were admitted in different ORIGINAL PROF-1762 LAPAROSCOPIC APPENDICECTOMY; CLIP-CLOSURE OF APPENDIX STUMP

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تاریخ انتشار 2011