Monopolar laparoscopic appendectomy
Epublication WebSurg.com, May 2015;15(05). URL: http://websurg.com/doi/vd01en4507
The laparoscopic approach is the gold standard for acute appendicitis. There are several surgical devices to achieve hemostatic control of the appendicular artery (monopolar electrocautery, endoclip, endostapler, ultrasonic scalpel, and LigaSure™ vessel-sealing device), which vary widely according to the surgeon’s preference and availability in the institution. All devices are effective and safe, but monopolar electrocautery systems are the most cost-effective ones. A 24-year-old woman was admitted to our emergency department with a 24-hour evolution of right iliac fossa pain. No other symptoms were noted. An abdominal ultrasound was suggestive of an acute appendicitis. This full length surgical movie shows the feasibility and safety of monopolar electrocautery for meso-appendiceal dissection. The intra-abdominal procedure was achieved in 5 minutes 30 seconds. No complications were observed and the patient was discharged home on the next postoperative day.