Evaluation of laparoscopy in the management of the suspected cases of acute appendicitis | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 40, Issue 1, May 2021 PDF (171.45 K) | ||||
| DOI: 10.4103/ejs.ejs_234_20 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Elsayed Abdullah; Selmy Awad; Saleh Alghamdi; Shaker Alfaran; Khaled Alsubaie; Nawal Alotaibi; Mohamed S.A. Sheishaa | ||||
| Abstract | ||||
| Context Differential diagnosis of right lower quadrant abdominal pain is a major public health problem. The clinical features and special investigations are all nonspecific, and the list of differential diagnosis is long indeed. One-third of unnecessary appendectomies performed in women of child-bearing period are avoidable by emergency diagnostic laparoscopy. Aim The aim was to evaluate the role of laparoscopy in diagnosis of causes of acute lower abdominal pain, which mimic acute appendicitis and perioperative outcome. Settings and design During the period from April 2014 to April 2018, this prospective study was conducted at Mansoura Emergency and University Hospitals, Department of General Surgery, on 60 patients having suspected acute appendicitis. Patients and methods Laparoscopy was done for all patients of suspected acute appendicitis for diagnostic and therapeutic purposes. Statistical analysis used Careful analysis of the data was done using Statistical Package for the Social Sciences program, version 26. Results Diagnostic laparoscopy was able to settle the correct diagnosis in 58 (96.6%) patients with high diagnostic accuracy. Moreover, it was able to save patients from unnecessary explorations. Operative time for the studied patients was a mean of 35.1±4.9 min. Conclusion Clinical diagnosis and laparoscopy were complementary in diagnosis of acute appendicitis and acute right lower abdominal pain. Laparoscopic assessment was advantageous in cases of diagnostic uncertainty. laparoscopic appendectomy caused fewer complications, diminished pain, shortened convalescence, and reduced hospital stay. Removal of an apparently normal appendix was recommended if no other pathology was found at laparoscopy. | ||||
| Keywords | ||||
| acute appendicitis; Laparoscopy; Management; suspected | ||||
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