Endoscopic Appendectomy

TLDR

New endoscopic haemostasis techniques enable endoscopic appendectomy for cases such as postoperative adhesions, elongated appendix, endometriosis, and subacute or chronic appendicitis. The procedure uses an instrument set that performs standard operative steps and sterilizes the resection point for 20–30 s at 212 °F with crocodile forceps before dividing and extracting the appendix. The method references the McBurney and Sprengel approach.

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.