Examination of her abdomen revealed a retracted appendicectomy
scar with surrounding erythema and a small sinus discharging faeco-purulent material.
We searched PubMed and Google Scholar using the keywords "Transumbilical Laparoscopic assisted Appendicectomy
", "Transumbilical Laparoscopic assisted Appendectomy", "Single Port Appendicectomy
", and "Single Port Appendectomy".
In a review  of 4 670 appendicectomy
specimens, 14 cases of endometriosis of the appendix were identified.
Four (90%) of these hernias developed after laparoscopic cholecystectomy and one following laparoscopic appendicectomy
In this particular case, we could hypothesize that the adhesions that were formed following open appendicectomy
may have contributed to the knotting.
We should resect thick membrane to remove the obstruction, along with appendicectomy
; (3) In postoperative period, use various means to stop adhesions happening again.
Methods: A Total of 166 patients operated for acute appendicitis with open appendicectomy
at Civil Hospital Karachi were included in the study.
This study highlights the risk of secondary trocar induced iatrogenic bladder injuries during laparoscopic appendicectomy
. The incidence of bladder injury was 0.36%.
There have been much recent research and debate over the best operative modality for an appendicectomy
, despite the laparoscopic approach gaining popularity among general surgeons.
[1,8,9] In this modern era where facilities and expertise of laparoscopic surgery is available, laparoscopic appendicectomy
for both complicated (appendicular lump) and uncomplicated appendicitis is recommended where possible which further lessen morbidity.
A seven-year-old male underwent a laparoscopic appendicectomy
, with anaesthesia comprising propofol induction, sevoflurane in air/oxygen maintenance and intravenous morphine analgesia.
Minimally invasive surgery has become the norm and many complex operations are currently performed laparoscopically, including cholecystectomy, appendicectomy
, fundoplication, colectomy, splenectomy, adrenalectomy, nephrectomy and liver resection.