Endoscopic Appendectomy in Childhood - Technical Aspects
Abstract Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 wo...
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| Veröffentlicht in: | European journal of pediatric surgery 1994-12, Vol.4 (6), p.341-343 |
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| container_end_page | 343 |
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| container_issue | 6 |
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| container_title | European journal of pediatric surgery |
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| creator | Kellnar, St Trammer, A. Till, H. Lochbühler, H. |
| description | Abstract
Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 working trocars with a diameter of a 5 mm are placed in the left lower quadrant of the abdomen, so that the surgeon can skeletonize the appendix bimanually until it can be dissected with an Endo-GIA. This procedure we carried out in 41 cases and did not see any postoperative complications yet. Thus we consider it an appropriate alternative to conventional surgery. |
| doi_str_mv | 10.1055/s-2008-1066130 |
| format | Article |
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Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 working trocars with a diameter of a 5 mm are placed in the left lower quadrant of the abdomen, so that the surgeon can skeletonize the appendix bimanually until it can be dissected with an Endo-GIA. This procedure we carried out in 41 cases and did not see any postoperative complications yet. Thus we consider it an appropriate alternative to conventional surgery.</description><identifier>ISSN: 0939-7248</identifier><identifier>EISSN: 1439-359X</identifier><identifier>DOI: 10.1055/s-2008-1066130</identifier><identifier>PMID: 7748833</identifier><language>eng</language><publisher>Stuttgart: Thieme</publisher><subject>Adolescent ; Appendectomy - instrumentation ; Appendicitis - surgery ; Biological and medical sciences ; Child ; Child, Preschool ; Equipment Design ; Humans ; Infant ; Laparoscopes ; Medical sciences ; Original article ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Surgical Staplers ; Suture Techniques - instrumentation</subject><ispartof>European journal of pediatric surgery, 1994-12, Vol.4 (6), p.341-343</ispartof><rights>Georg Thieme Verlag KG Stuttgart · New York</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-f5f6f3c34b9b3fceb02cd86e96c33866940b7e514691701fe2b3cc30ad7944963</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-2008-1066130.pdf$$EPDF$$P50$$Gthieme$$H</linktopdf><link.rule.ids>314,780,784,3017,3018,27924,27925,54559</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3415941$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7748833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kellnar, St</creatorcontrib><creatorcontrib>Trammer, A.</creatorcontrib><creatorcontrib>Till, H.</creatorcontrib><creatorcontrib>Lochbühler, H.</creatorcontrib><title>Endoscopic Appendectomy in Childhood - Technical Aspects</title><title>European journal of pediatric surgery</title><addtitle>Eur J Pediatr Surg</addtitle><description>Abstract
Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 working trocars with a diameter of a 5 mm are placed in the left lower quadrant of the abdomen, so that the surgeon can skeletonize the appendix bimanually until it can be dissected with an Endo-GIA. This procedure we carried out in 41 cases and did not see any postoperative complications yet. Thus we consider it an appropriate alternative to conventional surgery.</description><subject>Adolescent</subject><subject>Appendectomy - instrumentation</subject><subject>Appendicitis - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>Infant</subject><subject>Laparoscopes</subject><subject>Medical sciences</subject><subject>Original article</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical Staplers</subject><subject>Suture Techniques - instrumentation</subject><issn>0939-7248</issn><issn>1439-359X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1rwzAQhkVpSdO0a7eCh9JN6cmSJWsMIf2AQJcUuglbloiCbbmWPeTfVyEmW6c7uOfe4x6EHgksCWTZa8ApQI4JcE4oXKE5YVRimsmfazQHGXuRsvwW3YVwACBMpjBDMyFYnlM6R_mmrXzQvnM6WXWdaSujB98cE9cm672rq733VYKTndH71umiTlahi0i4Rze2qIN5mOoCfb9tdusPvP16_1yvtljTnA_YZpZbqikrZUmtNiWkusq5kVzTCHDJoBQmI4xLIoBYk5ZUawpFJSRjktMFejnndr3_HU0YVOOCNnVdtMaPQQkBMmWURXB5BnXvQ-iNVV3vmqI_KgLqpEoFdVKlJlVx4WlKHsvGVBd8chPnz9O8CPFx2xetduGCUUYyyUjE8Bkb9s40Rh382LfRyH9n_wAJu30c</recordid><startdate>19941201</startdate><enddate>19941201</enddate><creator>Kellnar, St</creator><creator>Trammer, A.</creator><creator>Till, H.</creator><creator>Lochbühler, H.</creator><general>Thieme</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19941201</creationdate><title>Endoscopic Appendectomy in Childhood - Technical Aspects</title><author>Kellnar, St ; Trammer, A. ; Till, H. ; Lochbühler, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-f5f6f3c34b9b3fceb02cd86e96c33866940b7e514691701fe2b3cc30ad7944963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adolescent</topic><topic>Appendectomy - instrumentation</topic><topic>Appendicitis - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>Infant</topic><topic>Laparoscopes</topic><topic>Medical sciences</topic><topic>Original article</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Surgical Staplers</topic><topic>Suture Techniques - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kellnar, St</creatorcontrib><creatorcontrib>Trammer, A.</creatorcontrib><creatorcontrib>Till, H.</creatorcontrib><creatorcontrib>Lochbühler, H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kellnar, St</au><au>Trammer, A.</au><au>Till, H.</au><au>Lochbühler, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic Appendectomy in Childhood - Technical Aspects</atitle><jtitle>European journal of pediatric surgery</jtitle><addtitle>Eur J Pediatr Surg</addtitle><date>1994-12-01</date><risdate>1994</risdate><volume>4</volume><issue>6</issue><spage>341</spage><epage>343</epage><pages>341-343</pages><issn>0939-7248</issn><eissn>1439-359X</eissn><abstract>Abstract
Since March 1992 we initially performed 87 laparoscopic appendectomies applying two cat-gut loops for ligation of the stump. Since we postoperatively found abscess formation twice, we modified the technique in the following aspects: After the introduction of the scope at the umbilicus, 2 working trocars with a diameter of a 5 mm are placed in the left lower quadrant of the abdomen, so that the surgeon can skeletonize the appendix bimanually until it can be dissected with an Endo-GIA. This procedure we carried out in 41 cases and did not see any postoperative complications yet. Thus we consider it an appropriate alternative to conventional surgery.</abstract><cop>Stuttgart</cop><pub>Thieme</pub><pmid>7748833</pmid><doi>10.1055/s-2008-1066130</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0939-7248 |
| ispartof | European journal of pediatric surgery, 1994-12, Vol.4 (6), p.341-343 |
| issn | 0939-7248 1439-359X |
| language | eng |
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| source | MEDLINE; Thieme Connect Journals |
| subjects | Adolescent Appendectomy - instrumentation Appendicitis - surgery Biological and medical sciences Child Child, Preschool Equipment Design Humans Infant Laparoscopes Medical sciences Original article Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical Staplers Suture Techniques - instrumentation |
| title | Endoscopic Appendectomy in Childhood - Technical Aspects |
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