Salom A, Perini MJ, Cubas S

Language: Spanish
References: 15
Page: 70-73
PDF size: 199.77 Kb.

ABSTRACT

Introduction: The laparoscopic appendectomy of non-complicated acute apendicitis is a simple video-assisted surgery procedure. It is also possible to treat by laparoscopy those forms complicated with diffuse acute and localized peritonitis when the physician has experience in laparoscopic surgery and in the treatment of simple forms. The purpose is to show the results obtained with the laparoscopy treatment in patients with simple acute appendicitis and with peritoneal complications (diffuse and localized peritonitis).
Material and methods: This Observational, retrospective, descriptive study is constituted by 148 patients treated between November, 1998 and July, 2010. Ages go from 7 to 72 years with an average of 29 years, 67 men and 81 women. 126 had non-complicated appendicitis (39 congestive, 73 phlegmonous, 13 gangrenous ones); 22 had a complicated form (14 diffuse and 8 localized peritonitis).
Results: The mortality of the series was 0. Morbidity was low. A larger number of complications were observed in localized peritonitis (abscesses and plastrons). Infections complications of wounds were almost 0.
Conclusions: The laparoscopy treatment of simple and complicated appendicitis has good results; a lower parietal morbidity can be underlined.

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