Unexpected situation during laparoscopic surgery: Appendiceal adhesion to the umbilicus; A case report

Year 2023, Volume: 16 Issue: 2, 55 - 57, 08.08.2023

Fatin Rüştü Polat

Abstract

Laparoscopic surgery is a widely used and safe surgical technique for most surgical abdominal diseases. However, the potential for unexpected complications should always be considered. Preoperatively, for potential pathologies, cases should be evaluated with USG or CT. Perforating lesions that occur during pneumoperitoneum creation for the camera trocar with a Veress needle or blinding technique are among the major complications of laparoscopic surgery. In this paper, A case who underwent cholecystectomy, of periumbilical appendiceal adhesion seen during the operation in the whom with no previous abdominal surgery is presented, and relevant literature is reviewed.

Keywords

laparoscopy, Trocar, complication, appendix

References

• 1. Köckerling F, Schneider C, Reck T. Die offene Laparoskopie zur Vermeidung von Punktionsverletzungen [Open laparoscopy for prevention of puncture injuries]. Chirurg. 1996;67(2):183-7.
• 2. Agarwala N, Liu CY. Safe entry techniques during laparoscopy: left upper quadrant entry using the ninth intercostal space--a review of 918 procedures. J Minim Invasive Gynecol. 2005;12(1):55-61.
• 3. Teoh B, Sen R, Abbott J. An evaluation of four tests used to ascertain Veres needle placement at closed laparoscopy. J Minim Invasive Gynecol. 2005;12(2):153-8.
• 4. Polat FR, Abci I, Coskun I, Uranues S. The importance of intraoperative cholangiography during laparoscopic cholecystectomy. JSLS. 2000;4(2):103-7.
• 5. Mari G, Scanziani R, Auricchio S, Crippa J, Maggioni D. Laparoscopic Surgery in Patients on Peritoneal Dialysis: A Review of the Literature. Surg Innov. 2017;24(4):397-401.
• 6. Szomstein S, Lo Menzo E, Simpfendorfer C, Zundel N, Rosenthal RJ. Laparoscopic lysis of adhesions. World J Surg. 2006;30(4):535-40.
• 7. Polat FR. Hydatid cyst: open or laparoscopic approach? A retrospective analysis. Surg Laparosc Endosc Percutan Tech. 2012;22(3):264-6.
• 8. Wormser C, Runge JJ. Advances in Laparoscopic Surgery. Vet Clin North Am Small Anim Pract. 2016;46(1):63-84.
• 9. Polat FR, Polat S, Sultanoglu E. Laparoscopic treatment of hydatid cyst of the liver: a case report. JSLS. 2005;9(2):245-6.
• 10. León Ferrufino F, Varas Cohen J, Buckel Schaffner E, Crovari Eulufi F, Pimentel Müller F, Martínez Castillo J, Jarufe Cassis N, Boza Wilson C. Simulation in laparoscopic surgery. Cir Esp. 2015;93(1):4-11.