Summary
These newly developed endoscopic methods in gynaecology for haemostasis during surgical
pelviscopy (Endocoagulation, Roeder-loop ligation, endoligature, endo-suture with
intra- and extracorporeal knotting) make it possible to carry out appendectomy by
endoscopy for any of the following indications:
Postoperative adhesion of the appendix especially in “sterility” patients, elongated
appendix extending into the small pelvis, endometriosis of the appendix, subacute
and chronic appendicitis.
The instrument-set employed in this method permits the performance of all the usual
classical operative steps (pursestring suture, and Z-suture acc. to McBurney and Sprengel).
The point for resection has to be sterilized over 20-30 sec. at 212°F using the crocodile
forceps (endocoagulation procedure) before division and extraction of the appendix
is effected.
Key words:
Endoscopic abdominal surgery - Endoscopic appendectomy - Laparoscopic appendectomy
