Our Summary

This research paper looks at how combining two different types of surgery can improve treatment for certain types of tumors found at the base of the appendix. The team tried to remove a large growth in a patient’s intestine using an endoscope (a thin tube with a light and camera attached to it), but were unable to do so due to abdominal adhesions (bands of tissue that can develop after surgery).

So, they teamed up with surgeons to use a laparoscope (a similar tool to an endoscope, but used for keyhole surgery) to break down these adhesions. After this, they were able to use the endoscope to remove the appendix. They then sewed up the surgical site and put in two drainage tubes.

The patient recovered well after the surgery, and a year later, doctors found that the surgical site had healed well. The authors of the study conclude that this type of collaborative approach between different medical specialties is likely to become more common and will ultimately benefit patients. They suggest that more research is needed to support these findings.

FAQs

  1. What is the advantage of combining endoscopy and laparoscopic assistance in appendectomy?
  2. What complications may arise if intraabdominal adhesions are present during an endoscopic resection?
  3. How does the integration of internal medicine and surgery affect the outcome of laparoscopic appendectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic appendectomy is to follow post-operative care instructions carefully, including keeping the surgical site clean and dry, avoiding heavy lifting or strenuous activity, and taking prescribed pain medication as directed. It is also important to attend follow-up appointments to ensure proper healing and monitor for any complications.

Suitable For

Patients who are typically recommended for laparoscopic appendectomy include those with acute appendicitis, chronic appendicitis, appendiceal abscess, or tumors at the base of the appendix. Additionally, laparoscopic appendectomy may be recommended for patients who are pregnant, obese, or have underlying medical conditions that may benefit from a minimally invasive approach. However, the specific recommendation for laparoscopic appendectomy should be made by a healthcare provider based on the individual patient’s medical history and condition.

Timeline

Before laparoscopic appendectomy:

  1. Patient experiences symptoms of appendicitis such as abdominal pain, nausea, vomiting, and fever.
  2. Patient undergoes physical examination and diagnostic tests such as blood tests, imaging studies (ultrasound or CT scan), and possibly a diagnostic laparoscopy.
  3. Diagnosis of appendicitis is confirmed, and the decision is made to proceed with laparoscopic appendectomy.
  4. Patient undergoes pre-operative preparation, including fasting and possibly bowel preparation.

After laparoscopic appendectomy:

  1. Patient undergoes laparoscopic appendectomy, during which the appendix is removed through small incisions in the abdomen.
  2. The surgical site is closed using sutures or staples, and drainage tubes may be placed.
  3. Patient is monitored in the recovery room for a period of time before being transferred to a hospital room.
  4. Patient is given pain medication and instructions for post-operative care, including diet and activity restrictions.
  5. Patient is discharged from the hospital once their condition is stable and they are able to tolerate oral intake and walk.
  6. Patient follows up with their surgeon for post-operative visits to monitor their recovery and ensure there are no complications.

What to Ask Your Doctor

  1. What is a laparoscopic appendectomy and how does it differ from a traditional open appendectomy?
  2. Am I a good candidate for a laparoscopic appendectomy?
  3. What are the potential risks and complications associated with a laparoscopic appendectomy?
  4. How long is the recovery process after a laparoscopic appendectomy?
  5. Will I have any dietary restrictions or limitations after the surgery?
  6. How soon can I return to normal activities, such as work or exercise, after a laparoscopic appendectomy?
  7. What follow-up care or appointments will be necessary after the surgery?
  8. Are there any long-term effects or considerations I should be aware of after a laparoscopic appendectomy?
  9. How experienced are you in performing laparoscopic appendectomies?
  10. Are there any alternative treatment options for my condition that I should consider before proceeding with a laparoscopic appendectomy?

Reference

Authors: Jiang X, Wang M, Fu M, Wang Y, Zhao L, Fan Z. Journal: Rev Esp Enferm Dig. 2024 Dec;116(12):727-728. doi: 10.17235/reed.2023.10092/2023. PMID: 38031906