Volume : III, Issue : X, October - 2014

Outcomes of Laparoscopic Appendectomy in Complicated Pediatric Appendicitis

Dr. Arun. K, Dr. Mayur M. Kadam

Abstract :

OBJECTIVES To assess the safety and efficacy of Laparoscopic appendectomy in complicated appendicitis in children. METHODS: All children admitted with diagnosis of acute appendicitis were evaluated. All children suspected to have complicated appendicitis are subjected to clinical examination and imaging. All children would be subjected to Laparoscopic appendectomy. RESULTS In our study it was seen that there was no incidence of post operative intra abdominal abscess. Lower incidence of post operative adhesions compared to open appendectomy. Lower incidence of infections, wound haematoma and post operative bowel paralysis when compared to open appendectomy. CONCLUSION Our results have indicated the feasibility, safety and efficacy of laparoscopic appendectomy in complicated appendicitis in children. The incidence of post–operative intra abdominal abcess was nil in our study probably due to the efforts taken to give a thorough peritoneal lavage and also an adequate course of higher antibiotics. Duration of surgery was dependent on the severity of the peritonitis and the associated paralytic ileus with dilated bowel loops which made the procedure technically challenging. Surgical site infection in our study though not significant could have been avoided with the use of endobag . Although the number of patients enrolled in this study thus far is small , preliminary results show that our experiences with Laparoscopic appendectomy in Complicated Appendicitis in children has been encouraging .In conculsion having found less morbidity with laparoscopic approach we advocate the use of laparoscopy in children even with complicated appendicitis.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. ARUN. K,Dr. MAYUR M. KADAM Outcomes of Laparoscopic Appendectomy in Complicated Pediatric Appendicitis International Journal of Scientific Research, Vol : 3, Issue : 10 October 2014

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