Circumumbilicus incision for bleeding Meckel's diverticulectomy
Chiengkriwate, P.; Patrapinyokul, S.; Sangkhathat, S.; Chowchuvech, V.
Journal of the Medical Association of Thailand 90(5): 931-935
2007
ISSN/ISBN: 0125-2208 PMID: 17596048 Document Number: 2817
Background/Objective: With regard to the recent interest in minimally invasive surgery, the authors report on a technique of transumbilical incision for Meckel diverticulum and appendectomy, which provides better cosmetic results and no increase in complications.Material and Method. The case records of 18 consecutive Meclcel diverticulum (MD) patients who were treated at Songklanagarind Hospital in Thailand between 1996 and 2005 were reviewed.Results: The male-female ratio was 14-4 (3.5: 1). Of the 15/18 (83.3 %) symptomatic cases, presenting symptoms were bleeding 10115 (66.7%), gut obstruction 2115 (13.3%), peritonitis 2115 (13.3%), and intussusception 1/15 (6.7%). All bleeding patients were children (age 1-15 years), 9/10 (90%) Meckel scan positive and 10/10 (100%) ectopic-gastic tissue. Four children underwent a circumumbilical incision. There were no perioperative or long-term complications related to the transumbilical approach.Conclusion: The umbilical incision has all the benefits of a minimal access approach. Umbilical incision is a safe, inexpensive, cosmetically pleasing, and easy technique. This minimally invasive surgery does not require long-term specialized training or special equipment.
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