LAPAROSCOPIC APPENDECTOMY. 9 + 1 ADVANTAGES AGAINST OPEN SURGERY.
Inflammation of the appendicitis is usually manifested by pain in the right lower quadrant of the abdomen. It is one of the most common conditions that the surgeon faces and at the same time one of the most demanding in diagnosis, as a large number of surgical or non and other conditions appear painful in the same abdominal area, especially in young women. Its treatment is primarily surgical.
In recent years the approach preferred by most surgeons has been laparoscopic because:
1. The total trauma to the abdominal wall (skin and ducts) from the creation of the tool inlet holes does not exceed 2cm. On the contrary, in open access it is multiple.
2. The surgeon may review the entire abdominal area, something that is not possible to do through the incision of open appendectomy.
3. Laparoscopic tools allow multiple manipulations.
4. “Difficult” appendectomies (eg, retrograde, fractured flaps) are performed more easily because of the wider field of view and the flexibility of manipulations.
5. In cases of dubious diagnosis or onset of inflammation, it is possible to screen for concomitant or other pathologies that mimic appendicitis and treat them simultaneously. The above, in open access, require that the incision be enlarged by several centimeters or that a wide incision is made elsewhere.
6. Unlike open appendectomy, obesity does not require larger incisions and more rigid manipulations.
7. The operation is performed, completed and controlled for its effect under the immediate magnified vision of all structures in the surgical field.
8. Even in the case of diagnostic problems, diagnostic laparoscopy is offered with or without therapeutic manipulations.
9. The probability of postoperative adhesions is minimal.
10. The patient enjoys all the benefits of laparoscopic surgery such as less pain, faster recovery, shorter mobilization, etc.