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Gastrointestinal System :
Appendicitis

Appendicitis, or inflammation of the appendix, is a medical emergency. Usually treatment involves surgical removal of the appendix.

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Scarless Appendicectomy -is it possible?

Appendicectomy is the commonest surgery in the abdominal region. Till recently it was performed by a small incision ( of varying length) called McBurney's incision. Such an incision can be hidden by fashioning it low down and making it more horizontal (also called Lanz incision)


Nowadays appendicectomy is performed by laparoscopic method also called Minimal Access Surgery. Here usually 3 minute cuts are made - 6 to 11 mms size. One is within the umbilical scar and hence well hidden or invisible. But other 2 scars would be visible.


With further refinements, it is possible to do entire appendicectomy operation by Laparoscopy using a SINGLE 11 mm puncture within the umbilicus and therefore invisible. Such an operation may be called "Scarless Appendicectomy".


Would like to know if anyone else doing such an operation ??


Would patients like to go in for "Scarless Appendicectomy", if it is equally good and safe as a standard operation?


Dr. M.Mohan Rao, MBBS,MS,FICS,MCH,


Director & Senior Surgeon, Dr U MOhan Rau Memorial Hospital, Chennai.


Visit: www.mohanraohospital.com 

Posted on : Friday, June 27, 2008 7:43 AM
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After the appendectomy you can eat and drink as tolarated.
Replied on Thursday, August 28, 2008 8:20 AM
I think what matters is the quality and purpose of surgery. Highlighting the issue of cosmetic surgery, I feel it is not the correct way. I have seen many surgeons mess up straight forward cases in an attempt to provide so called cosmetically appealing outcome.
Replied on Monday, March 1, 2010 9:11 AM
SILS (single incision laproscopic surgery)appendectomy is being performed in reasonable numbers these days. It has all the advantages of laproscopic The only difficulty is the discomfort due to lack of triangulation. However the use of some new equipment has made SILS surgery relatively safe. I am sure we should keep up with the progress in surgery
Replied on Thursday, May 13, 2010 12:11 PM
Our group at Dr U Mohan Rau Memorial Hospital in Chennai have performed this surgery as early as 2003 and published in JIMA. Ref: JIMA,2004,Jul;102(7):360,362,364. Now in 2010, many reports of Lap surgery through single incision are being reported and this is increasingly accepted as a definite step forward.
Replied on Monday, June 7, 2010 6:27 AM
Now in 2011-12 more and more Lap Surgeries are performed using a single incision through umbilicus- called SILS (Single Incision Lap. Surgery).But this needs lots of complicated and expensive instrumentation.But we did the "Scarless Appendicectomy" ijn 2003 using conventional lap instruments.

And now surgeons are also doing Lap Surgery through natural orifices , mainly through mouth and trans gastric - called NOTES.
Replied on Sunday, January 1, 2012 12:31 AM
 


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