Two Ports Suture Less Laparoscopic Appendectomy using the new Enseal Device and Ultra Grasper Safe and Feasible

Abstract

This operation was performed by me (1) in pre-conference surgical workshop day 2 at Minimal Invasive Surgery Centre, Liaquat University of Medicine and Health Sciences (LUMHS) on 20th November 2019. A 22 years old female resident of Hyderabad presented the Out Patients Department with complain of right iliac fossa pain associated with vomiting for the past 4 days. Physical examination was significant for tenderness and rebound tenderness in RIF region, Rovsing’s sign was positive. She was diagnosed as a case of acute appendicitis. After obtaining an informed consent she underwent 2-ports laparoscopic appendectomy under general anaesthesia. In this case we did not use any sutures or clips. Mesoappendix was divided and appendicectomy performed with Enseal device. Haemostasis was secured and wound closed with Vicryl 2.0. Patient made uneventful recovery and was discharged on the first postoperative day. We would therefore like to conclude that the suture-less 2-ports appendectomy was considered safe, reliable, and more minimal invasive, with decreased hospitalization duration and decreased risk of postoperative complications.

Keywords

• appendicectomy
• minimal access surgery
• ultra grasper