Laparoscopic Submucosal Appendectomy have Upper Edge for Gangrenous Appendix and Distorted Landmark: A Must Do Approach for Skilled Surgeon

Dr. Abhay Kumar, Dr. Sunny Singh, Dr. Mrityunjai Kumar

Abstract: Laparoscopic submucosal appendectomy has upper edge for gangrenous and distorted adherent to adjacent structure. Introduction: Delayed presentation and recurrent appendicitis sometimes test the skill of surgeon and become herculean task, distorted anatomy and adherent to adjacent structure. Material & Method: FromDec.2020 to Jan 2022, case series of 34 cases in which we did submucosal appendectomy in 9 cases out of which 7 were male, ageranges from 9 to 21 years, at JLNMCH Bhagalpur Bihar. Results: 11 cases presented with perforation, 13 cases have recurrent appendicitis and 10 cases were referred from primary centre; post operated stay 3 to 5 day, follow up to 3 to 6 months. CONCLUSION: Laparoscopic submucosal appendectomy is must do technique for skillful surgeon toevade conversion and saferoption in case of obscure anatomy and dense adhesion.

Keywords: laparoscopic submucosal appendectomy, distorted anatomy, skilled surgeon