Iatrogenic secondary trocar induced bladder injuries are a rare but preventable and potentially serious complication of laparoscopic appendicectomy
Of the 65 (20%) patients who had appendicectomy
after readmission, 9 had perforated appendicitis and 4 had gangrenous appendicitis.
In children undergoing appendicectomy
, a PVB (injections at T11, T12 and L1) reduced morphine requirements, but did not alter side-effects when compared with a no-block general anaesthetic technique (64).
In one child, the temperature increase was during an ophthalmic procedure and the other during a laparoscopic appendicectomy
Smoking habits, previous appendicectomy
and a history of gastroenteritis may also influence the development of IBD while the role of the contraceptive pill, measles virus and micobacteria remain unproven.
The appendix stump from the first appendicectomy
appeared unremarkable with an intact vicryl suture tied at the base of the stump.
This block provides effective postoperative analgesia after colorectal surgery (4), caesarean delivery (5), inguinal herniography, open radical prostatectomy (6), laparoscopic cholecystectomy (7), open appendicectomy
(8) and renal transplantation (9).
While NOTES is a hot topic in gastroenterology, only a few procedures have actually been performed in humans, including appendicectomy
, liver biopsy, tubal ligation and cholecystectomy.
His surgical history was significant only for an appendicectomy
Transversus abdominis plane (TAP) block is described in adults for lower abdominal surgery including radical prostatectomy (1), midline lower abdominal bowel surgery (2,3), appendicectomy
(3,4), caesarean section (3,5-7), total abdominal hysterectomy (8), laparoscopic gynaecological surgery (9), inguinal hernia repair (10), for caesarean wound haematoma pain (11) and for laparoscopic cholecystectomy (with infraumbilical ports) (12).
There is ongoing debate regarding the role of laparoscopic appendicectomy
and hernia repair.
His past medical history included hypertension and appendicectomy