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Complications - Appendectomy, laparoscopic

general and visceral surgery
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Intraoperative Complications

    • Injuries to other intestinal sections
      with a clear focus, no further exploration.
    • Vascular injuries
      avoid "tearing" at the mesentery.
    • Injuries from trocar positioning
      trocar insertion under vision, mini-laparotomy.
    • Thermal damage to the intestine or skin
      bipolar coagulation is safer.
    • Injury to the ureter with adherent retrocecal appendix

  2. Postoperative Complications

    • Wound Healing Disorder
      Open the wound, rinse, and apply a "moist" dressing twice daily.
    • Intra-abdominal Abscess
      Need for revision or percutaneous drainage.
    • Postoperative Ileus
      paralytic: conservative ileus therapy.
      mechanical (adhesion): revision.
    • Stump Insufficiency
      Revision and suturing, if not possible, tangential cecal pole resection or ileocecal resection, depending on findings.
    • Bleeding from the Appendicular Artery
      Revision surgery.
    • Subcutaneous Emphysema
      Usually resolves on its own.
    • Post-laparoscopic Shoulder Pain Syndrome
      Symptomatic therapy.