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Comparison of outcomes of laparoscopic intracorporeal knotting technique in patients with complicated and noncomplicated acute appendicitis.

Ay N, Dinç B, Alp V, Kaya Ş, Sevük U - Ther Clin Risk Manag (2015)

Bottom Line: We found that there was no significant difference in postoperative complication rates between complicated and noncomplicated appendicitis cases.Median and IQR duration of operation were 42 (35; 52) minutes and median and IQR duration of hospital stay were detected as 2 (1; 2) (range 1-10) days.Laparoscopic intracorporeal knotting technique may be a safe, effective, and reliable technique as the materials needed for closing the appendix stumps are easily available for both CAA cases and noncomplicated cases.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.

ABSTRACT

Background and aim: In our study we aimed to compare laparoscopic intracorporeal knotting technique (base of the appendix was ligated with 20 cm of 2.0 silk) in patients with complicated acute appendicitis (CAA) and noncomplicated acute appendicitis.

Patients and methods: Ninety patients (female/male: 40/50, age ranging from 16 to 60 years, median age and interquartile range [IQR]: 25 [20; 32] years) who underwent laparoscopic appendectomy were included in the study. The patients were evaluated for the type of acute appendicitis, duration of operation, duration of hospital stay, and postoperative complications.

Results: The number of cases diagnosed as CAA was 28 (31.1%), and the number of noncomplicated cases was 62 (68.9%). We found that there was no significant difference in postoperative complication rates between complicated and noncomplicated appendicitis cases. Incision site infection was seen in seven cases (7.8%) and ileus was seen in two cases (2.2%). Bleeding, intra-abdominal abscess, and appendix stump leakage were not observed in any of the cases. Median and IQR duration of operation were 42 (35; 52) minutes and median and IQR duration of hospital stay were detected as 2 (1; 2) (range 1-10) days.

Conclusion: Laparoscopic intracorporeal knotting technique may be a safe, effective, and reliable technique as the materials needed for closing the appendix stumps are easily available for both CAA cases and noncomplicated cases.

No MeSH data available.


Related in: MedlinePlus

Intraoperative findings.
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f1-tcrm-11-1213: Intraoperative findings.

Mentions: The number of cases diagnosed as CAA was 28 (31.1%), and the number of NCAA cases was 62 (68.9%) (Figure 1). In the postoperative period, incision site infection was observed in seven cases (7.8%) and ileus was observed in two cases (2.2%). Incision site infection was observed at the supraumbilical trocar site and at the left lower quadrant site in one case. Bleeding, intra-abdominal abscess, and appendix stump leakage were not observed in any of the cases. Of the 28 cases diagnosed as CAA, incision site infection developed in three cases (10.7%) and ileus developed in two cases (7.1%). Incision site infection developed in four NCAA cases (6.4%). Incision site infection was treated with regular wound care and antibiotics and ileus was treated with bowel rest and fluid resuscitation. Median duration of operation and IQR were detected as 42 (35; 52) (range 26–100) minutes, and median duration of hospitalization and IQR were detected as 2 (1; 2) (range 1–10) days (Table 1).


Comparison of outcomes of laparoscopic intracorporeal knotting technique in patients with complicated and noncomplicated acute appendicitis.

Ay N, Dinç B, Alp V, Kaya Ş, Sevük U - Ther Clin Risk Manag (2015)

Intraoperative findings.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4542476&req=5

f1-tcrm-11-1213: Intraoperative findings.
Mentions: The number of cases diagnosed as CAA was 28 (31.1%), and the number of NCAA cases was 62 (68.9%) (Figure 1). In the postoperative period, incision site infection was observed in seven cases (7.8%) and ileus was observed in two cases (2.2%). Incision site infection was observed at the supraumbilical trocar site and at the left lower quadrant site in one case. Bleeding, intra-abdominal abscess, and appendix stump leakage were not observed in any of the cases. Of the 28 cases diagnosed as CAA, incision site infection developed in three cases (10.7%) and ileus developed in two cases (7.1%). Incision site infection developed in four NCAA cases (6.4%). Incision site infection was treated with regular wound care and antibiotics and ileus was treated with bowel rest and fluid resuscitation. Median duration of operation and IQR were detected as 42 (35; 52) (range 26–100) minutes, and median duration of hospitalization and IQR were detected as 2 (1; 2) (range 1–10) days (Table 1).

Bottom Line: We found that there was no significant difference in postoperative complication rates between complicated and noncomplicated appendicitis cases.Median and IQR duration of operation were 42 (35; 52) minutes and median and IQR duration of hospital stay were detected as 2 (1; 2) (range 1-10) days.Laparoscopic intracorporeal knotting technique may be a safe, effective, and reliable technique as the materials needed for closing the appendix stumps are easily available for both CAA cases and noncomplicated cases.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.

ABSTRACT

Background and aim: In our study we aimed to compare laparoscopic intracorporeal knotting technique (base of the appendix was ligated with 20 cm of 2.0 silk) in patients with complicated acute appendicitis (CAA) and noncomplicated acute appendicitis.

Patients and methods: Ninety patients (female/male: 40/50, age ranging from 16 to 60 years, median age and interquartile range [IQR]: 25 [20; 32] years) who underwent laparoscopic appendectomy were included in the study. The patients were evaluated for the type of acute appendicitis, duration of operation, duration of hospital stay, and postoperative complications.

Results: The number of cases diagnosed as CAA was 28 (31.1%), and the number of noncomplicated cases was 62 (68.9%). We found that there was no significant difference in postoperative complication rates between complicated and noncomplicated appendicitis cases. Incision site infection was seen in seven cases (7.8%) and ileus was seen in two cases (2.2%). Bleeding, intra-abdominal abscess, and appendix stump leakage were not observed in any of the cases. Median and IQR duration of operation were 42 (35; 52) minutes and median and IQR duration of hospital stay were detected as 2 (1; 2) (range 1-10) days.

Conclusion: Laparoscopic intracorporeal knotting technique may be a safe, effective, and reliable technique as the materials needed for closing the appendix stumps are easily available for both CAA cases and noncomplicated cases.

No MeSH data available.


Related in: MedlinePlus