title: Technical modifications for laparoscopic appendetomy and other pelvic procedures using microinstruments.
abstract: Reusable microinstruments are used in a modification of the three-port technique for laparoscopic appendectomy and other pelvic procedures; the method is described herein. Fifty-seven consecutive patients were operated upon using this technique. There was no mortality; there were two minor complications and no conversions to laparotomy. Pain medication needs were minimal in all patients, and the cosmetic results were excellent. The use of microinstruments for pelvic laparoscopic procedures is safe and cost-effective using the technical modifications described.
authors.affiliation: Department of Surgery, The American British Cowdray Hospital, Hospital Angeles de las Lomas, Mexico City, Mexico.
authors.forename: J
authors.initials: J
authors.lastname: Cueto
authors.forename: M S
authors.initials: MS
authors.lastname: Valencia-Reyes
authors.forename: J A
authors.initials: JA
authors.lastname: Vazquez-Frias
authors.forename: P
authors.initials: P
authors.lastname: Castaneda-Leeder
authors.forename: R
authors.initials: R
authors.lastname: Nevarez-Bernal
authors.forename: A
authors.initials: A
authors.lastname: Weber-Sanchez
mesh_terms: D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000295:instrumentation / Q000379:methods*; D002648:Child; D017743:Equipment Reuse; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged