Retrograde appendicectomy
A retrograde appendicectomy is when the appendix is retrocaecal and adherent[1] or otherwise inaccessible, and an appendicectomy is performed in a retrograde fashion.[2] In cases of acute appendicitis, antegrade appendicectomy is the preferred option, but in cases where the base of the appendix is accessible but is difficult to identify or deliver its more distal portion, a retrograde appendicectomy becomes necessary.[3]
Technique[edit]
Firstly, the base is divided between artery forceps then the appendiceal vessels are then ligated, the stump ligated and invaginated, and gentle traction on the caecum will enable the surgeon to deliver the body of the appendix, which is then removed from base to tip.[4]
References[edit]
- ^ Bailey and Love's Short Practice of Surgery. CRC Press. 2012. p. 1209. ISBN 9781444121285.
- ^ Losanoff, Julian E.; Kjossev, Kirien T. (2011-12-04). "A New Technique for Retrograde Appendicectomy". The European Journal of Surgery. doi:10.3109/110241599750007162 (inactive 31 January 2024).
{{cite journal}}: CS1 maint: DOI inactive as of January 2024 (link) - ^ Nasher, Omar; Patel, Ramnik V.; Singh, Shailinder J. (2013-03-01). "Retrograde trans-mesoappendicular selective subserosal laparoscopic appendicectomy". Journal of Pediatric Surgery Case Reports. 1 (3): 50–52. doi:10.1016/j.epsc.2013.02.002. ISSN 2213-5766.
- ^ "A new technique for retrograde appendicectomy" (PDF). academic.oup.com.