CURRENT TECHNIQUES IN LAPAROSCOPIC APPENDECTOMY

An improved technique for laparoscopic appendectomy based on an experi ence of > 120 cases is presented. This method includes numerous additi ons to and modifications of previously described techniques and is eff ective for gangrenous and perforated appendicitis as well as for less severe cases. The most important elements are that (a) it is a safer p rocedure for attaining insertion of the Veress needle and the primary trocar; (b) it employs electrocautery to separate the appendix from th e mesoappendix; (c) an Endosac can be used for removal of the appendix from the abdomen without contamination of the abdominal wall; (d) no laser is necessary; and (e) staples are rarely necessary.