TULAA or Transumbilical Laparoscopic Assisted Appendicectomy is a minimally invasive technique described by Pelosi in 1992 for the removal of the inflamed appendix. Its main advantage is the possibility of exploring the peritoneal cavity and performing a simple and safe extracorporeal appendicectomy. Since its first description, different authors reported their experience with such technique. T...

Background. Laparoscopic appendicectomy is accepted by many as the gold standard approach for the treatment of acute appendicitis. The use of Single Incision Laparoscopic Surgery (SILS) has the potential of further reducing postoperative port site complications as well as improving cosmesis and patient satisfaction. Method. In this paper we report our experience and assess the feasibility of SI...

BACKGROUND The role of laparoscopic surgery in the management of patients with suspected appendicitis is still debated despite a number of recent randomized controlled trials (RCTs). METHODS A systematic review has been undertaken of all published RCTs comparing laparoscopic appendicectomy with open appendicectomy. Studies were identified through Medline and supplemented with a manual search ...

Appendix is a vestigial organ which can get inflamed to cause appendicitis. It is the bread and butter of a surgeon who encounters this problem regularly. Appendicectomy is the surgery which is performed to remove the inflamed appendix. It can be achieved either by conventional open surgery or laparoscopic surgery. In this study an effort was made to compare the complications involved between c...

Management of the appendix mass is controversial with no consensus in the literature. Traditionally, the approach has been conservative followed by interval appendicectomy. A survey was distributed to 117 surgeons (100 consultants and 17 final year specialist registrars) to determine how the appendix mass is currently treated in Ireland. In total, 70 surgeons responded. 51 (73%) adopt a conserv...

BACKGROUND Appendicectomy has traditionally been a training operation for junior surgical trainees. With the increased incidence of laparoscopic appendicectomy, concern has increased about the safety of this far more technically demanding procedure in the hands of junior surgical trainees. The learning curve of a junior surgeon is presented. METHODS Consecutive patients having laparoscopic ap...

Inflammation of the gallbladder without evidence of calculi is known as acute acalculous cholecystitis (AAC). AAC is frequently associated with a poor prognosis and a high mortality rate. Thus, early diagnosis and prompt surgical intervention has been recommended to improve the outcome of AAC. Herein, I present a case report of AAC complicating laparoscopic appendicectomy. Unlike previous studi...