Laparoscopic Appendectomy Is Gold Standard in Female Patients

Muhammad Shahzad, DOC

Holy Family Hospital

Introduction: Minimal invasive surgery not only opens the new chapter in surgery but added benefits to the outcome in female patients presenting with the complaints of pain in the right iliac fossa. Laparoscopy proved that the open method of doing the appendectomy obscure the main pathology in female patients presenting with pain. Laparoscopy reveals such pathology which can easily be dealt which otherwise remains obscure in open method and a source of constant pain postoperatively.

Materials and Methods: This study is conducted in Surgery department, Holy Family hospital, Rawalpindi, Pakistan from January 2011 to September 2012, 150 consecutive female patients prepared prospectively to undergo laparoscopic procedure with the preoperative diagnosis of acute appendicitis.

Results: 150 patients undergo laparoscopic procedure with the mean age of 25.5 years (range 13-38years). Out of these 68.67 percent having the same diagnosis 31.3 has other pathology. These include Simple ovarian cyst in 40.4 percent, Endometriotic 6.3percent, Simple ectopic 4.2 percent, Rupture ectopic 10.6 percent, Ruptured ovarian cyst 23.4 percent , PID 10.6 percent and Meckel in 4.2 percent.

Conclusion: laparoscopic way of dealing the female patients with pain right iliac fossa made it gold standard procedure for appendectomy.

Session: Poster Presentation

Program Number: P539

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