[Laparoscopic appendectomy with endoloop: results of our experience]. / Apendicectomía laparoscópica con endolazo: resultados de nuestra experiencia.

There are several different techniques for laparoscopic appendectomy (LA), with different material requirements and approach. We present the results from our series, where we employ monopolar hook for mesoappendix dissection and double polyglactin endoloop for ligation of appendicular stump. The appendix is taken out through the Hasson trocar without any contact with abdominal wall, in a completely laparoscopic procedure. We sought to analyze the security of this technique. We reviewed retrospectively every LA for acute appendicitis performed during the last 10 years in our Hospital. We collected data regarding surgical procedure and postoperative outcome, focusing on intraoperative or postoperative complications. A total of hundred and ten (110) LA for acute appendicitis (from simple appendicitis to perforated appendicitis) were performed. Mean operative time was 74.7 minutes (median 70 min, SD 24.43 min, min. 25, max. 130 min). Ten patients (9.09%) had postoperative complications, consisting in intraabdominal abscess in 6 patients (5.4%) and wound infection in 3 patients (2.7%). No major complication was found, as uncontrolled hemorrhage, bowel perforation or stump dehiscence. No patient needed a second surgical procedure in the postoperative time. Laparoscopic appendectomy with polyglactin endoloops is a completely laparoscopic and safe procedure, without any intraoperative complication in our series. Laparoscopic approach with 12 mm Hasson trocar and two 5 mm working trocars allows a nice aesthetic result.

Apendicectomía laparoscópica con endolazo: resultados de nuestra experiencia / No disponible

Introducción. Existen diversas técnicas de apendicectomía laparoscópica(AL), con diferentes requerimientos de material y abordaje. Presentamos los resultados de nuestra serie, donde empleamos el ganchomonopolar para disección del mesoapéndice y endolazo doble depoliglact in para la ligadura de la base apendicular, exteriorizando la pieza a través del trócar de Hasson sin contacto con la pared abdominal, en un procedimiento completamente cerrado. Pretendemos analizar la seguridad del procedimiento. Métodos. Se realizó un estudio retrospectivo observacional de AL urgentes realizadas en los últimos 10 años en nuestro centro. Se recogen variables referidas al procedimiento quirúrgico y evolución postoperatoria, haciendo especial hincapié en el estudio de las complicaciones, intraoperatorias y postoperatorias. Resultados. Se realizaron 110 AL urgentes. La duración media dela intervención fue de 74,7 minutos (mediana 70 min, D.S. 24,43 min, mín.25, máx. 130). Surgieron complicaciones postoperatorias en 10 pacientes(9,09%), consistentes principalmente en absceso intraabdominal, 6 pacientes(5,4%) e infección de herida quirúrgica 3 pacientes (2,7%). Ningún (..) (AU)

There are several different techniques for laparoscopic appendectomy(LA), with different material requirements and approach. We present the results from our series, where we employ monopolar hook for mesoappendix dissection and double polyglact in endoloop for ligation of appendicular stump. The appendix is taken out through the Hasson trocar without any contact with abdominal wall, in a completely laparoscopic procedure. We sought to analyze the security of this technique. We reviewed retrospectively every LA for acute appendicitis performed during the last 10 years in our Hospital. We collected data regarding surgical procedure and postoperative outcome, focusing on intraoperative or postoperative complications. A total of hundred and ten (110) LA for acute appendicitis (from simple appendicitis to perforated appendicitis) were performed. Mean (..) (AU)

Masa abdominal de diagnóstico prenatal / Prenatal abdominal mass

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El proceso del consentimiento informado en cirugía pediátrica. Nuevos horizontes / The process of informed consent in pediatric surgery. New horizons

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