LAPAROSCOPIC TREATMENT FOR PERFORATED APPENDICITIS WITH PELVIC ABSCESS

2004 ◽  
Vol 16 (4) ◽  
pp. 343-346 ◽  
Author(s):  
Hiroshi Yano ◽  
Masahiro Murakami ◽  
Yoshiaki Nakano ◽  
Takeshi Tono ◽  
Tadashi Ohnishi ◽  
...  
Keyword(s):  
Perforated Appendicitis ◽  
Pelvic Abscess ◽  
Laparoscopic Treatment

scholarly journals Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
William Kondo ◽  
Reitan Ribeiro ◽  
Carlos Henrique Trippia ◽  
Monica Tessmann Zomer
Keyword(s):  
Rectovaginal Fistula ◽  
Bowel Resection ◽  
Intestinal Anastomosis ◽  
Pelvic Abscess ◽  
Deep Infiltrating Endometriosis ◽  
Laparoscopic Treatment ◽  
Spontaneous Healing ◽  
Uterosacral Ligaments ◽  
Segmental Bowel Resection ◽  
Infiltrating Endometriosis

The surgical treatment of intestinal deep infiltrating endometriosis has an associated risk of major complications such as dehiscence of the intestinal anastomosis, pelvic abscess, and rectovaginal fistula. The management of postoperative rectovaginal fistula frequently requires a reoperation and the construction of a stoma for temporary fecal diversion. In this paper we describe a 27-year-old woman undergoing laparoscopic treatment of deep infiltrating endometriosis (extramucosal cystectomy, resection of the uterosacral ligaments, resection of the posterior vaginal fornix, and segmental bowel resection) complicated by a rectovaginal fistula, which healed spontaneously with nonsurgical conservative treatment.

Role of Drains in Laparoscopic Appendectomy for Complicated Appendicitis at a Busy County Hospital

2014 ◽  
Vol 80 (10) ◽  
pp. 1078-1081 ◽  
Author(s):  
Andrea M. Pakula ◽  
Ruby Skinner ◽  
Amber Jones ◽  
Ray Chung ◽  
Maureen Martin
Keyword(s):  
Laparoscopic Appendectomy ◽  
Perforated Appendicitis ◽  
Pelvic Abscess ◽  
Abscess Formation ◽  
White Blood Count ◽  
Patient Demographics ◽  
Gangrenous Appendicitis ◽  
Group I ◽  
Drain Group ◽  
Group Ii

Laparoscopic appendectomy (LA) has become the treatment of choice for acute appendicitis with equal or better outcomes than traditional open appendectomy (OA). LA in patients with a gangrenous or perforated appendicitis carries increased rate of pelvic abscess formation when compared with OA. We hypothesized routine placement of pelvic drains in gangrenous or perforated appendicitis decreases pelvic abscess formation after LA. Three hundred thirty-one patients undergoing LA between January 2007 and June 2011 were reviewed. Patients with perforated or gangrenous appendicitis were included. Group I had a Jackson-Pratt (JP) drain(s) placed and Group II had no JP drain. Data included patient demographics, emergency department laboratory values and vital signs, and computed axial tomography scan findings, intra-abdominal or pelvic abscess postoperatively, interventional radiology drainage, and length of stay. Clinic follow-up notes were reviewed. One hundred forty-eight patients were identified. Forty-three patients had placement of JP drains (Group I) and 105 patients had no JP drain (Group II). Three patients (three of 43 [6%]) in Group I developed pelvic abscess and 21 of 105 (20%) patients in Group II developed pelvic abscesses requiring subsequent drainage. This was statistically significant. Patient demographics, temperature, and mean white blood count before surgery were similar. Presurgery computed tomography (CT) with appendicolith and CT with abscess were more prevalent in Group I. The use of JP drainage in patients with perforated or gangrenous appendicitis during LA has decreased rates of pelvic abscess. This was demonstrated despite the drain group having appendicolith or abscess on preoperative CT.

Hem-o-lok Clip is a Safe Alternative in the Laparoscopic Treatment of Perforated Appendicitis

2019 ◽  
Vol 85 (5) ◽  
pp. 245-246
Author(s):  
Ahmet Sürek ◽  
Mehmet Abdussamet Bozkurt ◽  
Sezer Akbulut ◽  
Eyüp Gemici ◽  
Mehmet Emin Güneş
Keyword(s):  
Perforated Appendicitis ◽  
Laparoscopic Treatment ◽  
Safe Alternative

scholarly journals Laparoscopic management of perforated appendicitis-a study of 90 cases

2020 ◽  
Vol 23 (2) ◽  
pp. 59-66
Author(s):  
Md Manir Hossain Khan ◽  
Jobaida Sultana ◽  
Tazin Ahsan ◽  
SM Abu Ahsan
Keyword(s):  
Prospective Study ◽  
Hospital Stay ◽  
Standard Procedure ◽  
Age Distribution ◽  
Perforated Appendicitis ◽  
Abdominal Sepsis ◽  
Pelvic Abscess ◽  
Laparoscopic Management ◽  
Patient’S Satisfaction ◽  
Port Infection

Introduction: Acute appendicitis is the most common general surgical emergency in the world. It may cause potential risk for patients due to its life threaten complications like burst (perforation). The perforated appendicitis often leads to serious infectious complication like abdominal sepsis, pelvic abscess & etc. There are concerns of using laparoscopic appendectomy to perforated appendicitis. Now a days laparoscopic management of perforated appendicitis is the standard surgical option in many countries. Laparoscopic procedure has tremendous advantages over the open procedure regarding its diagnosis, exclusion of additional pathology, surgical treatment, wound infection (port infection), hospital stay & overall patient’s satisfaction. The aim of this prospective study was to evaluate the role and application of laparoscopy in the management of complicated appendicitis (perforation). Methods: It is a prospective study conducting during January 2011 to May 2019 in BSMMU and some private hospitals of Dhaka, Bangladesh. It includes 90 patients in whom laparoscopic appendicectomy & peritoneal lavage was performed. Three ports technique were usual. Sometimes 4th port is required. 10 mm port is telescopic port. The other one is 3/5 mm port and another one is 5/10 mm port.Energy source is unipolar diathermy. Intracorporeal knotting, endoloop and haemoclip are used for haemostosis& ligating appendicular stump. Results: Age distribution of the study is 3-90 years, mean 17 years. Male is predominant. Duration varies 10-120 minutes, mean 70 minutes. Duration varies 30-120 minutes, mean 70 minutes. Hospital stay varies from 48-96 hours, mean 64 hours. There were 8 complications- single (5, 5.55%) or multiple (3, 3.33%) port infections, paralytic ileus (2, 2.22%) and diarrhea (1, 1.11%), port TB was identified (3, 3.33%) cases among the port infection. Conversion was 1 (1.11%) for controlling haemorrhage of burst appendicitis. All complications are managed conservatively. Conclusion: Total management of perforated appendicitis by laparoscopy is excellent. So it is achievable, feasible & can be done by expert hand in any center. Now it is considered as standard procedure. Journal of Surgical Sciences (2019) Vol. 23(2): 59-66

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