World Journal of Laparoscopic Surgery

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VOLUME 4 , ISSUE 1 ( January-April, 2011 ) > List of Articles

RESEARCH ARTICLE

Technical Modifications in Laparoscopic Appendectomy

Ali Aminian, Faramarz Karimian, Karamollah Toolabi, Rasoul Mirsharifi

Citation Information : Aminian A, Karimian F, Toolabi K, Mirsharifi R. Technical Modifications in Laparoscopic Appendectomy. World J Lap Surg 2011; 4 (1):1-4.

DOI: 10.5005/jp-journals-10007-1106

Published Online: 01-04-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The technique of laparoscopic appendectomy has been modified several times in the past 20 years. In this report, we have described our modifications regarding the position of ports placement and closure of the base of appendix. Three surgeons successfully performed laparoscopic appendectomy in 108 cases with these modifications during the 3-year period. The first 10 mm port is placed in the periumbilical region. The second 10 mm and third 5 mm ports are inserted in the left and right side of abdomen below the pubic hairline respectively. Then the telescope is transferred from the periumbilical to the left suprapubic port. This mode of access leads to optimal ergonomics and cosmesis. For securing the base of appendix, only one Hem-o-lok clip (nonabsorbable polymer clip) is applied on each side. The use of Hem-o-lok clip is simple, safe and decreases the time and cost of laparoscopic appendectomy.


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