Cosmetic Result and Post-Operative Pain Reduction according to the Antepubic Location of Trocar Insertion in a Laparoscopic Appendectomy.
- Author:
Byung Hee YOU
1
;
Myung Soo LEE
;
Se Hwan HAN
;
Seok Yong RYU
;
Hong Joo KIM
;
Young Duck KIM
;
Hong Yong KIM
Author Information
1. Department of Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Appendectomy;
Laparoscopy;
Cosmesis;
Pain;
Antepubic incision
- MeSH:
Appendectomy*;
Cholecystectomy;
Cicatrix;
Herniorrhaphy;
Humans;
Laparoscopy;
Length of Stay;
Surgical Instruments*
- From:Journal of the Korean Surgical Society
1998;55(5):705-712
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Laparoscopic surgery was first applied in appendectomies. However, the use of laparoscopic surgery has become more popular in other operation than appendectomies such as cholecystectomies and herniorrhaphies. Many surgeons have abandoned the laparoscopic appendectomy because they think the procedure is tedious and has no advantage over the simple open appendectomy. However, the incisional scar is an unavoidable sequela of an open appendectomy, and post-operative pain is bothersome in many cases. METHODS: We carried out laparoscopic appendectomies in 49 consecutive patients by using antepubic trocar insertion to achieve maximum cosmetic effect and to minimize the post-operative pain. Fifteen patients (control group) underwent laparoscopic appendectomies with conventional trocar sites 2~3 cm above the symphysis pubis. Thirty-four patients (studied group) received a newly designed operation using an incision site on the symphysis pubis to maximize the cosmetic effect. We made a short subcutaneous tunnel from antepubic incision to facilitate the intra-abdominal dissection. RESULTS: When we compare the post-operative results, there was no difference between the two groups with respect to operation time, post-operative pain, post-operative hospital stay, or complications. CONCLUSIONS: A greater of the proportion patients who received the newly designed operation were satisfied with the cosmetic result.
