Techniques of appendectomy
Suc, B.; Escat, J.
La Revue du Praticien 42(6): 701-705
1992
ISSN/ISBN: 0035-2640 PMID: 1534631 Document Number: 397263
Appendicectomy is a century old. McBurney's incision is the oldest but still most frequently used approach. This well-codified surgical procedure can be made difficult by anatomical variations in the situation of the caecum within the peritoneal cavity or by variations in winding of the appendix around the caecum. In uncomplicated appendicectomy abdominal drainage must be installed only when the base of the appendix is of poor quality. Complicated forms of appendicitis (with peritoneal abscess, appendiceal mass, appendicular peritonitis) have their own specific treatment. Laparoscopic surgery has a role to play among the appendicectomy techniques, and this role seems to be particularly interesting in appendicular peritonitis.