Endoscopic appendectomy: Technical operative steps

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Abstract
Summary When compared to the classic operative therapy of appendicitis the advantages of endoscopic therapy are evident. The operative steps have been simplified over the past 10 years of development. The operation time is short and does not exceed the time required to perform the same procedure by laparotomy. The post-operative therapy, which is dependent on the severity of appendix inflammation, is standardized. Reduction in the length of hospital stay is from 1–4 days and convalescence requiring days instead of weeks are two great advantages of such a minimally invasive technique when compared to laparotomy. The only contraindication to the endoscopic appendectomy is advanced gangrenous appendicitis. However, even this indication in the modern medical era is perhaps no longer an absolute contraindication.

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