Page 13 - World Journal of Laparoscopic Surgery

WJOLS

Our Experience in Laparoscopic Appendectomy in Federal Teaching Hospital, Gombe

Fig. 5: Appendix picked Fig. 6: Ligation of the appendix after cauterization
of the mesoappendix

Table 1: Summary
Age Operative Recovery Pain Hospital
in time in time in perception stay in
S. no. years Sex minutes minutes (VAS) hours
1. 27 M 45 180 2 19
2. 19 F 31 180 2 18
3. 18 F 42 210 3 22
4. 22 M 33 150 3 19
5. 29 F 35 150 3 22
6. 18 F 35 180 2 26
7. 18 F 28 180 3 23
8. 19 F 30 240 2 22
9. 27 F 32 180 3 22
10. 20 F 28 180 2 23
11. 28 M 30 150 3 22
Fig. 7: Port closure
12. 19 F 32 180 3 23
13. 24 M 38 190 2 24
14. 26 M 33 180 3 23
15. 34 F 36 150 2 25
16. 17 M 32 180 3 19
17. 29 F 40 180 2 20
18. 21 M 36 210 3 23
19. 37 F 38 180 3 24
20. 22 M 30 190 2 23
Mean 23.7 34.2 181 2.55 22.1

Our experiences correspond with other work done
in south east of Nigeria1 and reports from Kenya
where Patel et al reported a 106 case series of laparo -
scopic appendectomy over a 6-year period from 1996 to
10
2002. Our mean operative time is 34.2 minutes. The
Fig. 8: Five days after operation
pain experienced was mild (2.55 on average) based on
general surgeon who pioneered the act in our unit. visual analogue scale and that is a great advantage of the

Appendicectomies, though hand-assisted were done and laparoscopic appendicectomy. The average hospital stay
cholecystectomy. Now, have a surgeon that had a basic postoperatively was 22 hours so early discharged and
training in minimal access surgery and doing most of patient’s satisfactory remarks are the hallmark of our joy
the surgeries with good outcome. and experience (Tables 1 to 5 and Graph 1).

World Journal of Laparoscopic Surgery, September-December 2014;7(3):111-115 113