Description

This video demonstrate Laparoscopic Appendectomy for Fecalith of Appendix performed by Dr R K Mishra at World Laparoscopy Hospital. This is a rare, but frustrating complication. During dissection of a distended, gangrenous appendix, a fecalith may drop into the peritoneal cavity. Retained fecaliths may cause an intrabdominal abscess. Therefore fecaliths need to be dealt with carefully and cautiously to avoid them being lost between the loops of the intestine and the pelvis. Fecatliths should be thrown into an endobag and careful lavage performed. This complication will be found more often as laparoscopic appendectomy becomes a more common method in the treatment of acute appendicitis. Surgeons should be aware of this complication in order to treat fecalith adequately when recognized intra or postoperatively. Acute appendicitis is one of the most common causes of acute abdomen. It may occur from the time of infancy to old age, but the peak age of incidence is in the second and third decades of life. The diagnosis is based on a careful history and physical examination. In patients who have atypical clinical and laboratory findings, US, CT, MRI, a scoring system and laparoscopy can be used. Laparoscopic appendectomy is a safe and effective method for the treatment of appendicitis. It has proven advantages in relation to the open method: less post-operative pain, and a short stay in hospital, quicker recovery and return to normal activities. The causes of unsuccessful procedures vary, and most of the reasons for conversion occur due to the operator's lack of experience.