APPENDECTOMY UNDER LOCAL-ANESTHESIA FOLLOWING CONSCIOUS PAIN MAPPING WITH MICROLAPAROSCOPY

The appendix is an under-appreciated source of chronic pelvic pain. La paroscopic evaluation of the appendix is limited without intra-operati ve patient feedback on the presence and absence of pain. New technique s using local anaesthesia with conscious sedation have enabled us to p erform operative laparoscopic surgery while the patient is awake. We r eport the first two cases of microlaparoscopic appendectomies performe d under local anaesthesia with conscious sedation following diagnosis obtained during conscious pain mapping.