Inguinal approach for pediatric appendectomy: A case series.
- Author:
Alvin B. Caballes
- Publication Type:Journal Article
- Keywords:
minilaparotomy
- MeSH:
Appendectomy;
Appendicitis
- From:
Philippine Journal of Surgical Specialties
2018;73(2):52-56
- CountryPhilippines
- Language:English
-
Abstract:
Appendicitis is the most frequent indication for emergent surgery in
children. Appendectomies are increasingly done laparoscopically,
minimizing tissue trauma and enabling earlier recovery, but the added
costs remain prohibitive in resource constrained settings. An open
approach, but from a less conspicuous inguinal incision, provides
similar advantages without additional resource requirements. The
operative technique is described and the profile of patients, including
their clinical course and operative findings, are summarized. The
differences in short-term outcomes for non-perforated and perforated
cases are compared. The trans-inguinal approach was utilized in 26
patients. It provided adequate surgical access even for ruptured cases
and had suitable wound outcomes. Ruptured cases had significantly
longer operative time, but were not associated with differences in the
patients' length of stay.
- Full text:Inguinal approach.pdf
