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 Laparoscopic appendectomy, appendix, acute appendicitis, appendicitisL'acute appendicitis, whose gold standard of treatment today is thelaparoscopic appendectomy, is one of the diseases that most frequently may need a intervention urgent surgery, and affects all age groups of the population. Currently, there is a tendency to treat the first episode with appropriate antibiotic therapy alongside from intestinal "rest" (i.e., from a diet that is not aggressive to the intestines); but if the typical pain in the right iliac fossa (the right lower quadrant of the abdomen) recurs, especially when associated with fever, nausea, vomiting, and closing of the bowel,surgery becomes essential for Avoid complications, such as appendix perforation,appendicular abscess, and peritonitis acute, which can become fearsome and sometimes fatal.

Laparoscopic appendectomy, acute appendicitis, abdominal pain

Laparoscopic appendectomy

La chirurgia laparoscopica, se confrontata alle “vecchie” tecniche aperte, associa una minore invasività
chirurgica – il che rende possibile una dimissione più precoce dopo l’intervento – ad una molto migliore visione dell’area chirurgica ed alla possibilità di esplorare a fondo tutta la cavità addominale (la qual cosa, per esempio, nelle donne in età fertile consente di effettuare una diagnosi differenziale con patologie degli organi riproduttivi pelvici che possono “simulare” un’appendicite acuta) e di eseguire una toilette del cavo peritoneale che con le tecniche aperte non sempre è possibile.

The surgical technique oflaparoscopic appendectomy involves access to the abdominal cavity with 3 trocars; that is, three small incisions are made, two 12 mm and one 5 mm, one of which remains "hidden" inside the umbilicus, so the aesthetic results are also excellent. 

Laparoscopic appendectomy: what are the complications?

Possible postoperative complications are few, and include bleeding, bowel perforation, infection, and the very rare "stump appendicitis," which is a recurrence of inflammation at the remaining appendicular stump (when the stump is left long). In the hands of experienced surgeons, the frequency of these complications is close to zero. Discharge is usually 1-2 days after surgery, and postoperative recovery is very rapid.

In the hands of a properly trained laparoscopic surgeon, such as those in the group of Cuccomarino, MD and unless particularly complex anatomical situations or peritoneal inflammation are present, laparoscopic appendectomy surgery lasts less than 30 minutes.

 

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