Laparoscopic appendicectomy

Abstract

Occasionally the surgeon has to venture into exploratory laparotomy, in order to confirm his assessment and also to treat accordingly. However, laparoscopy has become a means of minimising such situations for the surgeon. Against this background few surgeons have of late, been using the laparoscope for confirming or discounting the particular pathology before proceeding to laparotomy. The laparoscopic procedure needs adequate knowledge, experience and precision in handling the instruments. The recent extensive upsurge in female sterilization via the laparoscope in India has made it possible to develop techniques which are new and different from the ones practiced in developed countries. Compelling occasions on the author leading to successful closure of the trochar perforation of the colon on the spot with the help of a band applicator alone has led to the concept of appendicectomy in practice; More so with the author's modified band applicator. This procedure can readily be mastered by the endoscopic surgeon.