Laparoscopic Harmonic Appendectomy: A Novel Approach

Vishal Farid Raza^1, , Dawood Arshad¹, Liaquat Ali Bhatti¹, Anza Talal¹, Sajeel Ahmad¹ and Khalid Javeed Khan¹

¹Department of General Surgery, Fatima Jinnah Medical University, Sir Ganga Ram Hospital, Lahore, Pakistan

Cite this paper:
Vishal Farid Raza, Dawood Arshad, Liaquat Ali Bhatti, Anza Talal, Sajeel Ahmad and Khalid Javeed Khan. Laparoscopic Harmonic Appendectomy: A Novel Approach. Global Journal of Surgery. 2020; 8(2):32-36. doi: 10.12691/js-8-2-3

Abstract

Introduction: Acute appendicitis is one of the most frequently encountered surgical emergencies, and over the years the surgical approach to which has undergone many changes. For decades, an open appendectomy was performed, until the 1990s when a laparoscopic approach gained popularity. Methods: A retrospective study was conducted to assess outcomes of 63 patients who underwent a laparoscopic appendectomy using a 3-port incision, where harmonic scalpel was utilized for the division of the appendiceal stump and mesoappendix. Results: None of our participants experienced any complications, 85.7% of appendixes were acutely inflamed at operation, the mean operative time was 31.4 minutes. Conclusions: Harmonic scalpel used for laparoscopic appendectomy is both safe and effective, and decreases morbidity compared to open appendectomies.

Keywords:
minimally invasive surgery appendectomy harmonic scalpel laparoscopy general surgery

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