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Query: UMLS:C0030201 (Postoperative pain)
 1,085 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Whether laparoscopic appendectomy is superior to open appendectomy for simple and perforated appendicitis in children is still debatable. To answer this question, surgical experience of three experienced pediatric surgeons in a single institution was studied during one year in all cases of laparoscopic appendectomy. From January 2003 to January 2004, all laparoscopic appendectomies were reviewed for operative technique, advantages, disadvantages, operative time and length of stay. There were 44 laparoscopic appendectomies in children aged 4 to 19 years. Operating time dropped from 52 minutes at the beginning to less than 25 minutes at the end of year. Operating time in perforated appendicitis was slightly longer, from 58-65 minutes. Length of stay was 1-2 days for simple cases, and maximum 5 days for perforated ones. There were no postoperative complications such as abscess, bowel obstruction, bleeding, wound infection or mortality. Laparoscopic appendectomy is at least as safe and effective, if not superior to, as open appendectomy for both, simple and perforated appendicitis. Postoperative pain is less, and recovery is faster. Laparoscopic appendectomy is our procedure of choice in pediatric surgery.
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PMID:[Laparoscopic appendectomy in children--a new fashion or a privilege]. 1561 75

Newly developed endoscopic instruments and devices, along with advanced endoscopic surgical techniques, have made it possible to perform an increasing variety of endoscopic procedures. These procedures consist of the same steps employed in the open procedure that preceded them but avoid their large incisions. This in turn eliminates many of the disadvantages associated with laparotomy and thoracotomy incisions. Postoperative pain is greatly decreased, postoperative hospital stay is shortened, and return to normal activities is expedited. Postoperative complications as well as early and late morbidity related to the surgical wound (e.g. wound infection, incisional hernia, wound dehiscence) are minimized. The incidence of intraabdominal adhesions and both early and late postoperative intestinal obstruction are decreased. Cosmesis is dramatically enhanced.
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PMID:Use of endoluminal illuminated bougie during laparoscopic and thoracoscopic surgery of the esophagus. 2131 94