[Appendectomy with intraoperative celioscopy in children. 465 cases].
The authors report a retrospective series of 465 appendectomies with intraoperative celioscopy in children under age 16. The technical issues and the indications are discussed. The results are the following: No death, 3.6% intraoperative incidents of no consequence, 3% postoperative complications, including 1.3% requiring second surgery or celioscopy. These results are better than those obtained with conventional surgery. The advantages of appendicectomy with intraoperative celioscopy are the following: easy, quick search for the appendix, whatever its location, exploration of the entire abdominal cavity, possibility to perform a complete peritoneal washing, suppression of parietal complications, and almost no skin scar, definite reduction in the number of intraperitoneal residual abscesses, and likely reduction of postoperative adhesions, which are a cause of obstruction, of chronic pain and of infertility in girls, rapid resumption of transit and of all activities, including sports.
Valla
J S
JS
Service de Chirurgie infantile, Fondation Lenval, Nice.
Limonne
B
B
Valla
V
V
Montupet
P
P
Daoud
N
N
Grinda
A
A
Chavrier
Y
Y
D000293:Adolescent; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D010532:Peritoneal Diseases / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies
Appendicectomies chez l'enfant sous coelioscopie opératoire. 465 cas.