Appendectomy with intraoperative celioscopy in children. 465 cases

The authors report a retrospective series of 465 appendectomies with intraoperative celioscopy in children under age 16. The technical issues and the indications are discussed. The results are the following: No death, 3.6% intraoperative incidents of no consequence, 3% postoperative complications, i...

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Bibliographic Details
Published inJournal de chirurgie Vol. 128; no. 6-7; p. 306
Main Authors Valla, J S, Limonne, B, Valla, V, Montupet, P, Daoud, N, Grinda, A, Chavrier, Y
Format Journal Article
LanguageFrench
Published France 01.06.1991
Subjects
Adolescent
Appendectomy - methods
Appendicitis - surgery
Child
Child, Preschool
Endoscopy, Gastrointestinal - methods
Female
Hernia, Inguinal - surgery
Humans
Laparoscopy
Male
Peritoneal Diseases - surgery
Postoperative Complications
Retrospective Studies
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Summary:The authors report a retrospective series of 465 appendectomies with intraoperative celioscopy in children under age 16. The technical issues and the indications are discussed. The results are the following: No death, 3.6% intraoperative incidents of no consequence, 3% postoperative complications, including 1.3% requiring second surgery or celioscopy. These results are better than those obtained with conventional surgery. The advantages of appendicectomy with intraoperative celioscopy are the following: easy, quick search for the appendix, whatever its location, exploration of the entire abdominal cavity, possibility to perform a complete peritoneal washing, suppression of parietal complications, and almost no skin scar, definite reduction in the number of intraperitoneal residual abscesses, and likely reduction of postoperative adhesions, which are a cause of obstruction, of chronic pain and of infertility in girls, rapid resumption of transit and of all activities, including sports.
ISSN:0021-7697