The surgical removal of the appendix is referred to as an appendectomy. The appendectomy procedure can be performed laparoscopically or openly. It must be done right away, or the organ would burst, allowing bacteria and faecal particles to spread throughout the abdomen. Patients can resume normal activity in less time with laparoscopy than they can with open appendectomy. Patients experienced much less postoperative discomfort and had a better cosmetic outcome.
In this study, we used history and clinical evaluations, preoperative laboratory data, ultrasonography findings, and intraoperative findings to try to determine predictors of difficult appendectomy.
Materials and Procedures: The study was conducted at the Sarojini Naidu Medical College in Agra.
All patients who had a laparoscopic appendectomy between January 1st, 2016 and June 30th, 2017 were included in the study.
Patient history, physical examination, laboratory data, ultrasonography (USG) findings, and intra-operative information were all recorded on a thorough Performa.
A difficult appendectomy was defined as a laparoscopic appendectomy that took more than 120 minutes and was converted to an open surgery due to difficulty rather than complications during the procedure. Severe adhesion was thought to be a tough appendectomy case.
Results: We discovered that age > 60 years, history of previous lower abdominal surgery, time from onset to operation > 24 hours, acute appendicitis, and periappendicular collection can all be used to predict the difficulty of a laparoscopic appendectomy prior to surgery.
Conclusion: Few studies have been conducted to determine the predictors of difficult appendectomy, and further study is needed to do so.Author(S) Details
Anubhav Goel
Department of Surgery, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
Ankur Bansal
Department of Surgery, S. R. Hospital, Agra, Uttar Pradesh, India.
Anil Baliyan
Department of Surgery, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
View Book:- https://stm.bookpi.org/RDMMR-V6/article/view/4545
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