Author: Samuel Matei Coauthor: S ă s ă ran Vladu;Anita Kardos Coordinators: Medical Doctor Muresan Mircea Medical Doctor Petrisor Marius Daniel Coordinators:

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Presentation transcript:

Author: Samuel Matei Coauthor: S ă s ă ran Vladu;Anita Kardos Coordinators: Medical Doctor Muresan Mircea Medical Doctor Petrisor Marius Daniel Coordinators: Medical Doctor Muresan Mircea Medical Doctor Petrisor Marius Daniel

Background 4000 years ago in Ancient Egypt. removed when inflamed appendectomy.html

Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med. May 1986;15(5):557-64

 first laparoscopic appendectomy in 1980 by Kurt Semm  Larson’s reasons for laparoscopic appendectomy  2007 study developed in Department of Surgery, Prince of Wales Hospital on 1133 patients  Laparoscopic approach is preferable Larson GM, Cheadle WG, Polk HC Jr. Appendectomy for acute appendicitis. In Ballantyne GH, Leahy PF and Modlin IM, eds. Laparoscopic Surgery. Philadelphia: WB Saunders and Company; 1994:220.

Objective Sex Surgery lenght Days of hospitalization Comparison between the methods, taking in consideration:

Material and Method retrospective study Department Chirurgie 2, Spitalul Clinic Judeean de Urgen ă Tîrgu-Mure January January 2015 data: sex, surgery lenght (minutes), days of hospitalization, surgery method

72Female(31)L(23)C(8)Male(41)L(27)C(14) Results:

Unpaired t test(p=0,002) Surgery lenght(minutes)

Mann-Whitney statistical test(p=0,003)

Limitations of this study: Small number of cases We only had the information from the medical history

Conclusion Disadvantages of laparoscopic appendectomy general anesthesia gas embolism risk of injury to the aorta port-site hernias

Advantages of the laparoscopic appendectomy: Shorter operator time Shorter hospitalization Lesser post-operative complications More esthetical wound a faster recovery and return to a normal activity reduced tissue trauma good exposure in obese patients