Pravish Rai Sookha, MD, MS, PhD. Welkin hospital, Clinic Muller, Clinic du Nord
During the last 226 adult female appendicectomies, 55 were found to have underwent prior open pelvis floor surgeries. The most common surgeries included LSCS, ovarian cystectomy, salpingo-oophrectomy and endometriosis. Due to prior open surgery scars, all the surgeries were started with the Hasson’s method. Out of the 55 cases peritoneal adhesions affecting the surgery were seen in 28 cases, while in the rest either very minimal or no adhesions were seen. The pelvic surgeries were further divided in 2 classes – LSCS (20 cases) – The rest 35 cases. LSCS had 6 cases of adhesions of out 20 surgeries whereas in the other group 22 cases had adhesions out of 35 surgeries.
Results: In our cohort 51% of cases after open pelvic surgery presented with adhesions. All cases of laparoscopic appendicectomy were completed laparoscopically after careful dissection of adhesions.
Conclusions: Adhesions due to prior surgery are not a contraindication for laparoscopic surgery. Adhesions after pelvic surgeries are more common after emergency surgeries than after LSCS.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95721
Program Number: P022
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster