Endoscopic appendectomy

Endoscopy. 1983 Mar;15(2):59-64. doi: 10.1055/s-2007-1021466.

Abstract

These newly developed endoscopic methods in gynaecology for haemostasis during surgical pelviscopy (Endocoagulation Roeder-loop ligation, endoligature, endo-suture with intra- and extracorporeal knotting) make it possible to carry out appendectomy by endoscopy for any of the following indications: Postoperative adhesion of the appendix especially in "sterility" patients, elongated appendix extending into the small pelvis, endometriosis of the appendix, subacute and chronic appendicitis. The instrument-set employed in this method permits the performance of all the usual classical operative steps (purse-string suture, and Z-suture acc. to McBurney and Sprengel). The point for resection has to be sterilized over 20-30 sec. at 212 degrees F using the crocodile forceps (endocoagulation procedure) before division and extraction of the appendix is effected.

MeSH terms

  • Appendectomy / instrumentation*
  • Appendectomy / methods
  • Endoscopes*
  • Female
  • Humans
  • Laparoscopes*
  • Male