Description

Laparoscopic appendicectomy is one of the most common minimally invasive surgical procedures performed worldwide. At World Laparoscopy Hospital, Dr. R K Mishra, a pioneer in laparoscopic and robotic surgery, explains the technique, principles, and advantages of this procedure in a simple yet comprehensive manner for both medical professionals and patients. What is Laparoscopic Appendicectomy? Appendicectomy is the surgical removal of the appendix, typically performed to treat acute appendicitis. Unlike open surgery, laparoscopic appendicectomy is done through small incisions using a telescope and specialized instruments, making the procedure less painful and recovery much faster. Dr. Mishra’s Explanation of the Procedure According to Dr. R K Mishra, the laparoscopic appendicectomy is carried out in a step-wise manner: Patient Positioning – The patient is placed supine with slight Trendelenburg tilt and left lateral tilt, allowing the appendix to fall away from the small bowel. Creation of Pneumoperitoneum – A Veress needle or open (Hasson) technique is used to safely establish pneumoperitoneum. Port Placement – Generally, three ports are used: one 10 mm umbilical port for the laparoscope, and two 5 mm ports in the suprapubic and left iliac fossa regions. Exploration & Identification – The appendix is identified and mobilized by carefully dissecting the mesoappendix. Division of Mesoappendix – The mesoappendix containing the appendicular artery is divided using bipolar cautery, harmonic scalpel, or clips. Appendiceal Base Securing – The base of the appendix is ligated with endoloops, clips, or staplers to ensure complete closure. Specimen Retrieval – The appendix is removed through the umbilical port using a specimen retrieval bag to prevent contamination. Closure – The port sites are closed, with minimal scarring left behind. Advantages Highlighted by Dr. Mishra Dr. Mishra emphasizes several benefits of laparoscopic appendicectomy over the open technique: Smaller incisions and better cosmetic outcome. Less postoperative pain and need for analgesia. Faster recovery and early return to normal activities. Reduced risk of wound infection due to minimal tissue handling. Better visualization of the abdominal cavity, useful in cases of uncertain diagnosis. Training Perspective As a leading trainer in minimal access surgery, Dr. R K Mishra often uses laparoscopic appendicectomy as a foundational teaching procedure for surgeons undergoing training at World Laparoscopy Hospital. The surgery is safe, effective, and an excellent introduction to the principles of laparoscopic surgery. Conclusion Dr. R K Mishra’s explanation of laparoscopic appendicectomy reflects both his surgical expertise and his dedication to teaching. By simplifying complex techniques, he ensures that future surgeons gain not only the technical skills but also the confidence to perform safe and successful laparoscopic procedures.