LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI

Objective: To present an experience of the first 50 cases of appendectomy performed via laparoscopy assisted open technique. Study Design: Descriptive case series. Place and Duration of Study: This study was carried out at Pediatric Surgery department, Pak Emirates Military Hospital Rawalpindi,...

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Autores principales:	Waqas Ahmed, Iftikhar Ahmed, Taseer Ibrahim, Safdar Hussain Awan, Omer Fraz, Chaudhary Aqeel Safdar
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	appendectomy laparoscopic assisted appendectomy laparoscopic surgery Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/4e95baddaef048a0969f19f822ef33e0
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spelling	oai:doaj.org-article:4e95baddaef048a0969f19f822ef33e02021-12-03T03:00:58ZLAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI0030-96482411-8842https://doaj.org/article/4e95baddaef048a0969f19f822ef33e02018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2341/2029https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To present an experience of the first 50 cases of appendectomy performed via laparoscopy assisted open technique. Study Design: Descriptive case series. Place and Duration of Study: This study was carried out at Pediatric Surgery department, Pak Emirates Military Hospital Rawalpindi, from Jan 2016 to Apr 2018. Material and Methods: Fifty patients (<12 years old) diagnosed as cases of acute appendicitis were enrolled after ethical committee approval. The procedure was performed via three ports (4 ports if required). Appendix was brought out through the right iliac fossa port and appendectomy was performed by extracorporeal knotting technique. Operative time, position of appendix and postoperative complications were recorded. Data was expressed as means and frequency percentages. Results: Out of 50 patients, 31 were male and 19 were females. The mean age of the patients was 7.99 ± 3.34 years. Forty one patients had acute appendicitis while 9 patients were diagnosed as appendicular mass. The mean operative time was 24.9 ± 7.42 minutes. There were no cases of surgical site infection. Thirty eight patients were operated via three ports while 12 patients required four ports. Three patients required conversion to open appendicectomy due to extensive adhesions or abscess. Post-operatively drain was placed in only 6 patients. Conclusion: Laparoscopic assisted open appendectomy is a safe, quick and easy to learn technique in children which combines all the advantages of minimal access surgery with open appendectomy while reducing the number of complications associated with it. The technique has the added advantage of diagnostic laparoscopy over open surgery.Waqas AhmedIftikhar AhmedTaseer IbrahimSafdar Hussain AwanOmer FrazChaudhary Aqeel SafdarArmy Medical College Rawalpindiarticleappendectomylaparoscopic assisted appendectomylaparoscopic surgeryMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1434-1438 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	appendectomy laparoscopic assisted appendectomy laparoscopic surgery Medicine R Medicine (General) R5-920
spellingShingle	appendectomy laparoscopic assisted appendectomy laparoscopic surgery Medicine R Medicine (General) R5-920 Waqas Ahmed Iftikhar Ahmed Taseer Ibrahim Safdar Hussain Awan Omer Fraz Chaudhary Aqeel Safdar LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI
description	Objective: To present an experience of the first 50 cases of appendectomy performed via laparoscopy assisted open technique. Study Design: Descriptive case series. Place and Duration of Study: This study was carried out at Pediatric Surgery department, Pak Emirates Military Hospital Rawalpindi, from Jan 2016 to Apr 2018. Material and Methods: Fifty patients (<12 years old) diagnosed as cases of acute appendicitis were enrolled after ethical committee approval. The procedure was performed via three ports (4 ports if required). Appendix was brought out through the right iliac fossa port and appendectomy was performed by extracorporeal knotting technique. Operative time, position of appendix and postoperative complications were recorded. Data was expressed as means and frequency percentages. Results: Out of 50 patients, 31 were male and 19 were females. The mean age of the patients was 7.99 ± 3.34 years. Forty one patients had acute appendicitis while 9 patients were diagnosed as appendicular mass. The mean operative time was 24.9 ± 7.42 minutes. There were no cases of surgical site infection. Thirty eight patients were operated via three ports while 12 patients required four ports. Three patients required conversion to open appendicectomy due to extensive adhesions or abscess. Post-operatively drain was placed in only 6 patients. Conclusion: Laparoscopic assisted open appendectomy is a safe, quick and easy to learn technique in children which combines all the advantages of minimal access surgery with open appendectomy while reducing the number of complications associated with it. The technique has the added advantage of diagnostic laparoscopy over open surgery.
format	article
author	Waqas Ahmed Iftikhar Ahmed Taseer Ibrahim Safdar Hussain Awan Omer Fraz Chaudhary Aqeel Safdar
author_facet	Waqas Ahmed Iftikhar Ahmed Taseer Ibrahim Safdar Hussain Awan Omer Fraz Chaudhary Aqeel Safdar
author_sort	Waqas Ahmed
title	LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI
title_short	LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI
title_full	LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI
title_fullStr	LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI
title_full_unstemmed	LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI
title_sort	laparoscopic assisted appendectomy in children. our experience of first 50 cases at tertiary care hospital rawalpindi
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/4e95baddaef048a0969f19f822ef33e0
work_keys_str_mv	AT waqasahmed laparoscopicassistedappendectomyinchildrenourexperienceoffirst50casesattertiarycarehospitalrawalpindi AT iftikharahmed laparoscopicassistedappendectomyinchildrenourexperienceoffirst50casesattertiarycarehospitalrawalpindi AT taseeribrahim laparoscopicassistedappendectomyinchildrenourexperienceoffirst50casesattertiarycarehospitalrawalpindi AT safdarhussainawan laparoscopicassistedappendectomyinchildrenourexperienceoffirst50casesattertiarycarehospitalrawalpindi AT omerfraz laparoscopicassistedappendectomyinchildrenourexperienceoffirst50casesattertiarycarehospitalrawalpindi AT chaudharyaqeelsafdar laparoscopicassistedappendectomyinchildrenourexperienceoffirst50casesattertiarycarehospitalrawalpindi
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LAPAROSCOPIC ASSISTED APPENDECTOMY IN CHILDREN. OUR EXPERIENCE OF FIRST 50 CASES AT TERTIARY CARE HOSPITAL RAWALPINDI

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