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Endoscopy 1983; 15(2): 59-64
DOI: 10.1055/s-2007-1021466
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Appendectomy

K. Semm
  • Department of Obstetrics and Gynaecology and Michaelis Midwifery School of the University of Kiel
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Publikationsdatum:
17. März 2008 (online)

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Summary

These newly developed endoscopic methods in gynaecology for haemostasis during surgical pelviscopy (Endocoagulation, Roeder-loop ligation, endoligature, endo-suture with intra- and extracorporeal knotting) make it possible to carry out appendectomy by endoscopy for any of the following indications:

Postoperative adhesion of the appendix especially in “sterility” patients, elongated appendix extending into the small pelvis, endometriosis of the appendix, subacute and chronic appendicitis.

The instrument-set employed in this method permits the performance of all the usual classical operative steps (pursestring suture, and Z-suture acc. to McBurney and Sprengel). The point for resection has to be sterilized over 20-30 sec. at 212°F using the crocodile forceps (endocoagulation procedure) before division and extraction of the appendix is effected.

Key words:

Endoscopic abdominal surgery - Endoscopic appendectomy - Laparoscopic appendectomy