17 March 2008 (online)
These newly developed endoscopic methods in gynaecology for haemostasis during surgical pelviscopy (Endocoagulation, Roeder-loop ligation, endoligature, endo-suture with intra- and extracorporeal knotting) make it possible to carry out appendectomy by endoscopy for any of the following indications:
Postoperative adhesion of the appendix especially in “sterility” patients, elongated appendix extending into the small pelvis, endometriosis of the appendix, subacute and chronic appendicitis.
The instrument-set employed in this method permits the performance of all the usual classical operative steps (pursestring suture, and Z-suture acc. to McBurney and Sprengel). The point for resection has to be sterilized over 20-30 sec. at 212°F using the crocodile forceps (endocoagulation procedure) before division and extraction of the appendix is effected.
Endoscopic abdominal surgery - Endoscopic appendectomy - Laparoscopic appendectomy