Original Research Article
Year: 2017 | Month: June | Volume: 7 | Issue: 6 | Pages: 11-16
To Study Intraoperative Factors Responsible for Conversion of Laparoscopic Appendicectomy to Open Appendicectomy
Dr. Sagar Ghodasara1, Dr Pukur Thekdi2, Dr. Mayank Vekariya3, Dr. Hitesh Meghani3
1Senior Resident, 3Assistant Professor,
P.D.U. Medical College, Rajkot
2Professor and Head at GMERS Medical College, Himmatnagar, Gujarat.
Corresponding Author: Dr. Sagar Ghodasara
ABSTRACT
Laparoscopic appendicectomy for suspected appendicitis is considered safe and effective. It has gained popularity in recent years and has become one of the most widely performed procedures using the laparoscope globally. Laparoscopic appendicectomy become the gold standard for appendicectomy in the near future. However, owing to the emergency nature of the disease, abnormal anatomy, complications a small number of these cases would require conversion of the minimal access procedure to a more conventional open procedure. It is quite advantageous that most of the above mentioned problems can be easily diagnosed and treated definitively through the laparoscope. But the limitations in the flexibility of the laparoscopic instruments pose a problem requiring the surgeon to resort to an open procedure in a small number of these cases which cannot be easily performed. This study analyse the factors responsible for conversion of laparoscopic to open appendectomy on various different conditions.
Key words: Laparoscopic appendicectomy, Aberrant anatomy, Perforation, Iatrogenic injuries.