Circumumbilicus incision for bleeding Meckel's diverticulectomy.
Article
in English
| IMSEAR
| ID: sea-44667
ABSTRACT
BACKGROUND/OBJECTIVE:
With regard to the recent interest in minimally invasive surgery, the authors report on a technique of transumbilical incision for Meckel s diverticulum and appendectomy, which provides better cosmetic results and no increase in complications. MATERIAL ANDMETHOD:
The case records of 18 consecutive Meckel's 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 (3.51). Of the 15/18 (83.3%) symptomatic cases, presenting symptoms were bleeding 10/15 (66.7%), gut obstruction 2/15 (13.3%), peritonitis 2/15 (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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Appendectomy
/
Umbilicus
/
Female
/
Humans
/
Male
/
Child
/
Child, Preschool
/
Retrospective Studies
/
Adolescent
/
Minimally Invasive Surgical Procedures
Type of study:
Observational study
Language:
English
Year:
2007
Type:
Article
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