Safety and Efficacy of Monopolar Cautery in Dissection of Mesoappendix in Laparoscopic Appendectomy in Western Nepal, a Multicentered Cross-Sectional Retrospective Study
| Autor: | Pradeep Ghimire Sharma, Santosh Shrestha, Binod Bade Shrestha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Journal of Society of Surgeons of Nepal, Vol 25, Iss 1 (2022) |
| Druh dokumentu: | article |
| ISSN: | 1815-3984 2392-4772 |
| DOI: | 10.3126/jssn.v25i1.47713 |
| Popis: | Introduction: Different instruments are being used for appendiceal mesentery dissection in laparoscopic appendectomy. The effectiveness and versatility of monopolar cautery for the same makes it a commonly used option. This study aims to observe the safety and efficacy of monopolar cautery in laparoscopic appendectomy for the dissection of mesoappendix. Methods: 424 cases who underwent laparoscopic appendectomy from November 2018 to April 2020 using monopolar cautery for mesoappendix dissection were included in this multi-centered cross-sectional retrospective study. The operating time, intra and post-operative complications and length of hospital stay were evaluated. Measures of central tendency were performed for data analysis. Results: Acute appendicitis was the common indication (96.7%) for the laparoscopic surgery, with 99.1% success rate with a male to female ratio of 1.17:1 and mean age of 21.48+14.80 years. The median operating time and length of hospital stay were 30 mins (range: 15–130 mins) and 3 days (range: 1-15 days), respectively. Moderate intra-operative bleeding was noted in 0.5%. Post-operative complications of wound infection (3.4%) and prolonged ileus (1.7%) were noted. Conclusion: Use of monopolar cautery for dissection of mesoappendix in laparoscopic appendectomy is still safe and efficient even with the advent of newer and more expensive instruments in the present world. |
| Databáze: | Directory of Open Access Journals |
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