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Laparoscopic Management is Ideal for Acute Appendicitis
General Surgery / Dec 26th, 2012 12:09 pm     A+ | a-
 

This video demonstrate surgery of acute appendicitis in a female of 9 year. Appendicitis can be a sudden inflammation in the appendix. Even though appendix will not appear to serve any purpose, it can become diseased and, if untreated, can burst, causing infection as well as death.
 
The main cause of appendicitis is generally unknown. Appendicitis can happen from a viral infection from the digestive system or when the tube connecting the massive intestine and appendix is blocked or trapped by stool. It is considered that blockage with the opening in the appendix in to the bowel by the hard, small stool fragment causes inflammation and infection from the appendix (appendicitis). The inflammation may cause infection, a blood clot, or rupture from the appendix.
 
The infected appendix then should be surgically removed by emergency appendectomy before a hole develops in the appendix and spreads the problem towards the entire abdominal space.
 
  • Abdominal pain may turn inside the upper-middle abdomen then develop to sharp localized pain
  • Abdominal pain might be worse when walking or coughing
  • Fever usually occurs within several hours
  • Appetite loss
  • Nausea
  • Vomiting
  • Constipation
  • Rectal tenderness
  • Chills and shaking
     
In case patient have these symptoms, she should be admitted immediately! Due to probability of rupture, that might happen the moment 48 to 3 days after symptoms begin, appendicitis is known as an emergency.
 
The most effective treatment of appendicitis is its surgery. Mild appendicitis may be cured with antibiotics. Much more serious cases are given surgery to remove the appendix, called an appendectomy. Doctors either use an "open" technique or perhaps a noninvasive approach to remove the appendix.
 
Appendicitis is regarded as an unexpected emergency and a person with symptoms must see a doctor immediately!
 
The laparoscopic surgical technique involves making several tiny cuts from the abdomen and inserting a miniature camera and surgical instruments. Up to three to four incisions are manufactured. Choices then removes the appendix with all the instruments, there is often patient should not come up with a large incision inside the abdomen. The digital camera projects a magnified picture of the region onto a television monitor which assists slowly move the surgeons since they get rid of the appendix.
 
Many cases of acute appendicitis can usually be treated laparoscopically. The main advantages are:
  • Less post-operative pain
  • Faster recovery and go back to normal activity
  • Shorter stay in hospital
  • Less post-operative complications
  • Minimally sized incisions/scars
  • In many instances, patients can be discharged within 24 to 36 hours. By contrast, a healthcare facility stay is normally 2 to 5 days to have an open procedure.
No. Patients with cardiac diseases and COPD would not be good candidates for laparoscopic appendectomy. Additionally, laparoscopic appendectomy is just not appropriate for those with pre-existing disease conditions.
 
Laparoscopic appendectomy can be more difficult in patients who may have had previous lower abdominal surgery and then for obese patients. The elderly can be at increased risk for complications with general anesthesia. We evaluate every patient to ascertain the appropriate kind of surgery to execute.
 
Obese patients with appendicitis have fewer postoperative complications, a shorter a hospital stay, and shorter operative when treated with laparoscopic appendectomy as opposed to open appendectomy, study findings show.
 
Mortality rates among obese patients helped by either surgical method failed to differ significantly, report they.
 
The final results emerge from data recorded between 2005 and 2009 inside the American College of Surgeons' National Surgical Quality Improvement Program (ACS NSQIP) database that established that one fourth of patients undergoing appendectomies within this timeframe and who had available body mass index (BMI) calculations were obese (BMI =30).

Although early Laparoscopic appendectomy for an appendiceal acute attack is a technically demanding procedure, it can be performed safely in children with minimal morbidity and mortality. In an era of laparoscopic surgery where patients' demand for "key-hole" surgery is rising, early Laparoscopic appendectomy in a child with acute appendicitis is a safe and viable option in the management of children with even an appendiceal mass. It also offers the advantage of avoiding misdiagnoses and the need for a second hospitalization.
2 COMMENTS
sanju
#1
Jun 19th, 2020 12:49 pm
Dr. Mishra is so nice and helpful. they saved my life. I watched this video and so glad. Very good and well-run Surgery. I am very satisfied with the services. Thank you for posting this appendix video.


Mukesh
#2
Jun 20th, 2020 5:52 am
Dear sir, I am Mukesh from Bhutan. My father is suffering from the Appendix. I am so worried about this. I don't know how will I get rid of the problem. what would I do now?. I wait for your suggestion.
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