title: Suprapubic appendectomy: a different single-incision approach.
abstract: BACKGROUND
  Appendectomy is performed on almost 700 000 patients per year in the European Community, rendering it the most common acute surgical procedure. Since the introduction of laparoscopic surgery, there has been increased interest in carrying out procedures with fewer incisions and less ports.
  
  
  METHODS
  After the inception of single-port access, it is possible to insert into the abdominal cavity multiple instruments through a single device. A total of 15 patients--mean age 22 years and mean body mass index 27 kg/m(2)--with acute appendicitis were included in this study.
  
  
  RESULTS
  Mean operative time was 35 minutes with no conversions. Local suction drain was needed in 2 patients. Mean hospital stay was less than 24 hours with no complications.
  
  
  CONCLUSIONS
  Single-port suprapubic appendectomy is feasible and safe, and can allow a more direct vision of the operating field depending on the position of the appendix and presents good cosmetic and postoperative outcomes.
authors.affiliation: 1Hospital Infanta Sofía, Madrid, Spain.
authors.forename: Jesús Ángel
authors.initials: JÁ
authors.lastname: Garijo Álvarez
authors.forename: Martín
authors.initials: M
authors.lastname: Gascón Hove
authors.forename: Tomás
authors.initials: T
authors.lastname: González Elosua
mesh_terms: D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D016896:Treatment Outcome