IS "ZARAGOZA" TECHNIQUE FOR LAPAROSCOPIC APPENDICECTOMY, USEFUL AT ANY STAGE?: SERIES OF CASES
EAES Academy. Vargas Ávila A. 07/05/22; 362985; P028
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Abstract
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Aims. Appendectomy continues to be one of the most frequent emergency surgical procedures, currently with a high preference for laparoscopic management worldwide. Laparoscopic technique execution is currently reported in the range of 46 to 58%, even up to 90% in some countries, with an open conversion rate of 8.6%.Objective:
Present a series of cases resolved by laparoscopic appendicectomy using the "Zaragoza" technique and its results.
Methods:
Cohort study of patients diagnosed with more than 150 were operated with the Zaragoza technique. We placed a 10mm trocar in the umbilical scar, two other 5mm trocars in suprapubic midline and or silk sutures are placed, knotted and the appendix is cut between the two sutures, finally mesoappendix is cut with harmonic scalpel or bipolar clamp.
Results:
Appendicitis in all phases were included, within our results we had 0% conversion to open surgery, 0% mortality a quick recovery and early discharge.
Conclusion:
Various methods of laparoscopic management for appendectomy are reported in the literature, from trocar placement, appendicular stump management and surgical specimen extraction, with a wide range of results. We have obtained good results in patients undergoing the technique we are reporting. The Zaragoza technique, which was used for laparoscopic appendectomy, is an effective and safe option that prevents excessive manipulation of the inflamed appendix and is also easily reproducible.
Present a series of cases resolved by laparoscopic appendicectomy using the "Zaragoza" technique and its results.
Methods:
Cohort study of patients diagnosed with more than 150 were operated with the Zaragoza technique. We placed a 10mm trocar in the umbilical scar, two other 5mm trocars in suprapubic midline and or silk sutures are placed, knotted and the appendix is cut between the two sutures, finally mesoappendix is cut with harmonic scalpel or bipolar clamp.
Results:
Appendicitis in all phases were included, within our results we had 0% conversion to open surgery, 0% mortality a quick recovery and early discharge.
Conclusion:
Various methods of laparoscopic management for appendectomy are reported in the literature, from trocar placement, appendicular stump management and surgical specimen extraction, with a wide range of results. We have obtained good results in patients undergoing the technique we are reporting. The Zaragoza technique, which was used for laparoscopic appendectomy, is an effective and safe option that prevents excessive manipulation of the inflamed appendix and is also easily reproducible.
Aims. Appendectomy continues to be one of the most frequent emergency surgical procedures, currently with a high preference for laparoscopic management worldwide. Laparoscopic technique execution is currently reported in the range of 46 to 58%, even up to 90% in some countries, with an open conversion rate of 8.6%.Objective:
Present a series of cases resolved by laparoscopic appendicectomy using the "Zaragoza" technique and its results.
Methods:
Cohort study of patients diagnosed with more than 150 were operated with the Zaragoza technique. We placed a 10mm trocar in the umbilical scar, two other 5mm trocars in suprapubic midline and or silk sutures are placed, knotted and the appendix is cut between the two sutures, finally mesoappendix is cut with harmonic scalpel or bipolar clamp.
Results:
Appendicitis in all phases were included, within our results we had 0% conversion to open surgery, 0% mortality a quick recovery and early discharge.
Conclusion:
Various methods of laparoscopic management for appendectomy are reported in the literature, from trocar placement, appendicular stump management and surgical specimen extraction, with a wide range of results. We have obtained good results in patients undergoing the technique we are reporting. The Zaragoza technique, which was used for laparoscopic appendectomy, is an effective and safe option that prevents excessive manipulation of the inflamed appendix and is also easily reproducible.
Present a series of cases resolved by laparoscopic appendicectomy using the "Zaragoza" technique and its results.
Methods:
Cohort study of patients diagnosed with more than 150 were operated with the Zaragoza technique. We placed a 10mm trocar in the umbilical scar, two other 5mm trocars in suprapubic midline and or silk sutures are placed, knotted and the appendix is cut between the two sutures, finally mesoappendix is cut with harmonic scalpel or bipolar clamp.
Results:
Appendicitis in all phases were included, within our results we had 0% conversion to open surgery, 0% mortality a quick recovery and early discharge.
Conclusion:
Various methods of laparoscopic management for appendectomy are reported in the literature, from trocar placement, appendicular stump management and surgical specimen extraction, with a wide range of results. We have obtained good results in patients undergoing the technique we are reporting. The Zaragoza technique, which was used for laparoscopic appendectomy, is an effective and safe option that prevents excessive manipulation of the inflamed appendix and is also easily reproducible.
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