Fernández ÁJ, Íñiguez FJJ, Baqueiro CA, Terrazas EF, Gómez LJM, Vargas UG

Language: Spanish
References: 21
Page: 89-94
PDF size: 84.70 Kb.

ABSTRACT

Objective: To describe the laparoscopic surgical handling of acute appendicitis, and to report and compare our results with those in the literature.
Setting: Hospital Español de México (Third level health care hospital).
Design: Retrospective, descriptive, transversal.
Statistical analysis: Frequency measures and chi square test.
Materials and methods: We included all laparoscopic appendectomies performed in a 5-and-a- half-year period, Studied variables were: Body mass index (BMI), diagnostic tools, type of abdominal cavity approach, staging of the appendix (according to Robbins’ classification and confirmed histopathologically), surgical time, converted surgeries and their causes, type of drainage, doses of analgesics and antibiotics, post-operative in-hospital stay, complications.
Results: A total of 422 laparoscopic appendectomies were performed in 240 women and 182 men, mean age of 35.17 years. Fourteen patients were older than 64 years and 54 patients had a BMI › 25. The appendix was fibrin-purulent in 173 patients; Pouchet’s surgical technique was used in all procedures, average surgical time was 74.64 min, 14 procedures had to be converted to open surgery. A different diagnosis was found in 20 patients and 90% of them were resolved through the same approach. Average analgesia was of 8.1 doses and 3 prophylactic antibiotic doses were used. Surgical site infection rate was 2.1%. Complications were encountered in less than 10%. Postoperative in-hospital stay was of 69.09 hours. Fewer complications were observed as time passed. Two incidental pathologies were diagnosed.
Conclusions: Laparoscopic appendectomy is a safe and efficacious method. Results are similar to those reported in the literature.

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