TITLE

Management of the Normal Appendix during Laparoscopy for Right Iliac Fossa Pain

AUTHOR(S)
Turner, E. Jane H.; Lightwood, Robin
PUB. DATE
May 2009
SOURCE
World Journal of Laparoscopic Surgery;May-Aug2009, Vol. 2 Issue 2, p15
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The advent of laparoscopic surgery raises the question of what to do with a normal appendix at laparoscopy for right iliac fossa pain of uncertain origin. We assess the views of all members of the Association of Laparoscopic Surgeons of Great Britain and Ireland (ALSGBI) via means of a survey. Of 135 responses to the questionnaire 61% of surgeons remove a macroscopically normal appendix and 26% do not. 13% of surgeons do not commit. Of those removing a normal appendix the most common reasons given were the possibility of endoluminal appendicitis (87%) and avoiding future confusion as to whether the appendix had been removed (64%). When asked whether there were sufficient guidelines on this topic 68% said no, 6% said yes and 5% were unsure. 16% said that it was a matter for common sense rather than guidelines and 5% felt that the evidence was contradictory. This study highlights a lack of consensus in the management of a normal appendix found at laparoscopy for right iliac fossa pain and demonstrates most surgeons feel guidelines would be useful. In the absence of guidelines the options may be discussed with the patient before operation.
ACCESSION #
48728280

 

Related Articles

  • Laparoscopic Appendectomy in the Treatment of Acute Appendicitis. Koluh, Anhel; Delibegovic, Samir; Hasukic, Šefik; Valjan, Velimir; Latic, Ferid // Medicinski Arhiv;2010, Vol. 64 Issue 3, p147 

    Background: Laparoscopic appendectomy (LA) has many advantages over the classic appendectomy (CA), but this method has not been accepted yet in Bosnia and Herzegovina. Therefore, we attempted controlled randomized study in order to compare classic appendectomy with laparoscopic appendectomy and...

  • Laparoscopic appendectomy significantly reduces length of stay for perforated appendicitis. Towfigh, S.; Chen, F.; Mason, R.; Katkhouda, N.; Chan, L.; Berne, T. // Surgical Endoscopy;Mar2006, Vol. 20 Issue 3, p495 

    Introduction: Though ruptured appendicitis is not a contraindication to laparoscopic appendectomy (LA), most surgeons have not embraced LA as the first-line approach to ruptured appendicitis. In fact, in 2002, the Cochrane Database Review concluded: 1) the clinical effects of LA are...

  • Laparoscopic appendectomy for perforated appendicitis: a comparison with open appendectomy. Yagmurlu, A.; Vernon, A.; Barnhart, D.; Georgeson, K. E.; Harmon, C. M. // Surgical Endoscopy;Jul2006, Vol. 20 Issue 7, p1051 

    Background: The role of laparoscopic appendectomy for perforated appendicitis remains controversial. This study aimed to compare laparoscopic and open appendectomy outcomes for children with perforated appendicitis. Methods: Over a 36-month period, 111 children with perforated appendicitis were...

  • Laparoscopic appendectomy for perforated appendicitis: a comparison with open appendectomy. Yagmurlu, A.; Vernon, A.; Barnhart, D.; Georgeson, K. E.; Harmon, C. M.; Barnhart, D C // Surgical Endoscopy;Jul2006, Vol. 20 Issue 7, p1051 

    Background: The role of laparoscopic appendectomy for perforated appendicitis remains controversial. This study aimed to compare laparoscopic and open appendectomy outcomes for children with perforated appendicitis.Methods: Over a 36-month period, 111 children with...

  • Laparoscopic management of acute appendicitis in situs inversus. Golash, Vishwanath // Journal of Minimal Access Surgery;Dec2006, Vol. 2 Issue 4, p220 

    Situs inversus is often detected incidentally in adults during imaging for a acute surgical emergency. We present a case of acute appendicitis in an adult who was previously unaware about his situs anomaly. A laparoscopic approach is helpful to deal with this condition. A 40 year old man was...

  • Laparoscopic Appendectomy in Bosnia and Herzegovina: the State of Laparoscopic Procedure in the Treatment of Acute Appendicitis. Delibegovic, Samir; Granov, Mirsad; Satrovic, Adnan; Matovic, Ervin; Custovic, Samir; Pandza, Haris // Medicinski Arhiv;2009, Vol. 63 Issue 1, p13 

    Background: Laparoscopic appendectomy (LA) has recently become a standard procedure in the treatment of acute appendicitis, as it has been shown to be advantageous over open appendectomy. Since laparoscopic appendectomy was recently introduced in Bosnia and Herzegovina, we evaluated the practice...

  • Agenesia del apéndice cecal. Informe de un caso. Zetina-Mejía, Carlos Arturo; Álvarez-Cosío, Jaime Enrique; Quillo-Olvera, Javier // Cirugia y Cirujanos;sep/oct2009, Vol. 77 Issue 5, p407 

    Background: Agenesis of the vermiform appendix is very rare and was first described by Morgagni in 1718. The estimated incidence is 1/100,000 laparotomies performed for suspected appendicitis. This case is reported with the aim of attracting the attention of surgeons who may be in a similar...

  • Single-incision laparoscopic appendectomy using conventional instruments: an initial experience using a novel technique. Chiu, Connie G.; Nguyen, Nam H.; Bloom, Scott W. // Surgical Endoscopy;Apr2011, Vol. 25 Issue 4, p1153 

    Background: Laparoscopic appendectomy has gained wide acceptance. This study aimed to evaluate the feasibility, safety, and cosmetic results of a novel technique: single incision laparoscopic (SIL) appendectomy. Methods: The study enrolled consecutive patients undergoing appendectomy for acute...

  • Laparoscopic Appendectomy by Ultrasonically Activated Scalpel in Acute Appendicitis: Preliminary Report. Martín del Olmo, J. C.; Blanco Álvarez, J. I.; Carbajo Caballero, M. A.; de la Cuesta de la Llave, C.; Vaquero Puerta, C.; Arenal, J. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Apr2002, Vol. 12 Issue 2, p111 

    Background and Purpose: Laparoscopic appendectomy (LA) is increasingly being used in treating acute appendicitis. New instruments such as the ultrasonically activated scalpel (UAS) have been introduced for most laparoscopic procedures. We evaluated the use of UAS in the performance of LA, as the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics