Single Incision Laparoscopic Appendectomy

Introduction: This video describes the technique of Single Incision Laparoscopic Appendectomy. The patient is a 23-year-old Hispanic male who presented with a 1-day history of right lower quadrant pain and tenderness, and an elevated white blood cell count. A CT scan confirmed the diagnosis of acute appendicitis.

Procedure: The steps of the procedure are as follow:
1- A infra-umbilical incision is made and abdomen is insufflated using a Veress needle. Next, two 5-mm port and a grasper through a sheath without a trocar are placed in the abdominal cavity.
2- The appendiceal mesentery is divided using a Harmonic scalpel.
3- The appendix is ligated with two endoloops and divided.
4- The base of appendix is cauterized.
5- One of the 5 mm ports is exchanged to a 10 mm port in order to introduce the endobag.
6- The appendix is placed in the endobag and is removed from the abdominal cavity
7- The fascia and skin are closed in layers.

Results: The patient was seen 1 week post operative. He had minimal postoperative pain with excellent cosmetic result.

Conclusion: With this video we demonstrated that Single Incision Laparoscopic Appendectomy can be a feasible alternative for original laparoscopic appendectomy in the cases of acute appendicitis with minimal peri-appendiceal phlegmon formation.

Session: Video Channel

Program Number: V052

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