Gastroenterology

Biography

Biography: Ahmed Iasheen

Abstract

Background: Acute appendicitis is the most frequent abdominal disease and requires urgent surgery. At thepresent time, laparoscopic appendectomy is a well-acceptedemergency procedure at most centers. In this study, we used a new spiral needle to facilitate the procedure, making it easy, minimally invasive, and cost eff ective. Methods: Th e study included 70 patients of both sexes with acute appendicitis that was treated by laparoscopic appendectomy using a new spiral needle. Th ese cases were treated at the General Surgery Department, Zagazig University, Egypt, from May 2012 to August 2013. In the procedure we used only two ports (a 10-mm port directly below the umbilicus for the camera and a 5-mm port at the left iliac fossa at the midclavicular line). Th e new spiralneedle was used to hold the appendix during the procedureand was inserted into the right iliac fossa depending on thesite of the appendix. Results: Th e mean age of the patients was 27.3 years,mean operative time was 40 min, and mean hospital staywas 1.3 days. Ten patients (14 %) had minimal bleeding atthe site of needle passage into the meso appendix. Woundinfection at the site of umbilical port occurred in fourpatients (5.7 %) postoperatively. Conclusion:Laparoscopic appendectomy using our newspiral needle is easy, minimally invasive, and costeff ective.