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Port Exteriorization Interval Appendectomy: An Experience with 25 Cases

Niranjan Dash , Niranjan Dash , Sunil Mhaske

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New Indian Journal of Surgery 4(2):p 37-42, July - December 2013. | DOI:

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Abstract

Laparoscopic appendectomy is conventionally performed using three ports. However, we have adopted this modified two port exteriorization technique by using minimum number of ports as well as disposables and got an excellent result. Hence aiming to document. Between May 2012 and Dec 2013, fifty laparoscopic appendectomies were performed of which 25 were operated using contemplated technique. Technical challenges, conversion, operative time, complications, post operative recovery and cosmoses were analyzed. Twenty five (13 females and 12 males) patients with age of 07 years to 67 years underwent port exteriorization interval appendectomy. The operative time was from 10 to 45 minutes. Two cases needed conversion to open appendectomy due to dense adhesions. Post operative pain was less than 25 by visual response score. One (4%) patient developed surgical site infection. Post operative recovery and cosmoses were excellent.  Port exteriorization appendectomy appear simple, safe, economical, and effective if condition favors its performance. However, difficult appendices requires conversion to three port/open procedure. 

Keywords: Laparoscopic appendectomy; Out technique; Port exteriorization appendectomy; Two port appendectomy. 

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