Summary
The diagnostic worth and therapeutic value of laparoscopic surgery are known for ovarian cysts and ectopic pregnancies. Diagnosis of appendicitis is difficult, and laparoscopy is useful in these cases. The present study was done to assess the feasibility, efficacy, and advantages of a new laparoscopic appendectomy technique. Between August 1,1989, and July 31,1990, patients exhibiting right pelvic pain associated with fever were divided into three groups according to the pre-operative diagnosis: appendicitis, pelvic inflammatory disease (PID), and diagnostic doubt between appendicitis and PID. An intra-peritoneal appendectomy was performed if the diagnosis was not PID. Via three suprasymphyseal trocars, the appendix was exposed and the mesoappendix was coagulated. The appendix stump was closed using a clip applier (Ethnor T1300). In all, 20 patients underwent laparoscopic appendectomies. The mean duration of the procedure was 36.5 min; in no case was laparotomy necessary. There were no post-operative complications, and digestive transit returned on the 2nd day post-surgery. Both patients and nurses appreciated the technique. The subjects experienced comfortable post-operative periods and gained aesthetic advantages. The operative procedure could be completed on each attempt. We conclude that this technique is sure, quick, and easily reproducible in young patients presenting with right pelvic pain associated with fever.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Body G, Lansac J, Magnin G, Quentin R (1985) Les salpingites aiguës non tuberculeuses. Encycl Med Chir Gynécol (Paris) 470A10: 11
Bruhat MA, Dubuisson JB, Pouly JL, et al (1989) La coeliochirurgie. Encycl Med Chir Tech Chir Urol Gynecol (Paris) 41515:6
Deutsch AA, Zelikovsky A (1982) Laparoscopy in the prevention of unnecessary appendectomY. Br J Surg 69: 336–337
Gangal HT, Gangal MH (1987) Laparoscopic appendectomy. Endos- copy 19: 3–5
Lau WY, Fan ST, Yiu TF, Chu KW, Suen HC, Wong KK (1986) The clinical significance of routine histopathologic study of the resected appendix and safety of appendiceal inversion. Surg Gynecol Obstet 162: 256–258
Leahy PS (1989) Technique of laparoscopic appendectomy. Br J Surg 76:616
Mulvihill S, Goldthorn J, WooUey MM (1983) Incidental append- ectomy in infants and children. Risk vs rationale. Arch Surg 118: 714–716
Ragland J, Garza J de la, McKenney J (1988) Peritoneoscopy for the diagnosis of acute appendicitis in females of reproductive age. Surg Endosc2:36–38
Schreiber JH (1987) Early experience with laparoscopic append- ectomy in women. Surg Endosc 1:211 -216
Semm K (1982) Advances in pelviscopic surgery. (Current problems in obstetrics and gynecology, vol 5). Year Book Medical Publishers, Chicago London
Semm K (1988) Die pelviskopische Appendektomie. Dtsch Med Wochenschr113:3–5
Von Rechenberg KN (1983) Die histopathologischen Befunde bei Gelegenheits-Appendektomien im Rahmen gynäkologischer La-parotomien und ihre Bedeutung für die Patientin. Geburtshilfe Frauenheilkd 43: 273–280
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cristalli, B.G., Izard, V., Jacob, D. et al. Laparoscopic appendectomy using a clip applier. Surg Endosc 5, 176–178 (1991). https://doi.org/10.1007/BF02653257
Issue Date:
DOI: https://doi.org/10.1007/BF02653257