Pared Abdominal y Apendicitis Aguda

8/9/2019 Pared Abdominal y Apendicitis Aguda

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Pared Abdominal y Apendicitis

Aguda

Dra Gloria Urbina

Becada Cirugia InfantilPrimer Ao


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Cavidad Abdominal Limite Superior: 4

Espacio Intercostal,

Limitado porDiafragma

Limite

Inferior:Apertura

Pelvica Superior

QuickTime and aTIFF (Uncompressed) decompressor

are needed to see this picture.


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Planos Abdominales Se puede Dividir en

9 regiones o en 4

cuadrantes.




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Pared Anterolateral Desde la caja torcica hasta la pelvis

Limites

Superior: Cartlagos 7 a 10. Inferior : Ligamento Inguinal y cintura pelviana

Fascia

Superior: Tejido subcutneo

Inferior: Fascia de Camper

Fascia de Scarpa


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Msculos Pared Anterolateral

Planos

Oblicuo Externo

Oblicuo Interno

Transverso

Verticales

Recto del Abdomen

Piramidal


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Q ickTimTI ( c m r ss ) c m r ss r

r t s t is ict r .

El m sc l Pir mi l st s br l r ct m y rV s lP bis l L lb


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Vaina de Los Rectos y Lnea

Alba Vaina de los rectos

Cara anterior

OI/OEcontralateral

Cara Posterior OI

y Transverso




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Inervacin

ickTi e an aTI ( nc resse ) ec ress r

are nee e t see t is ict re.


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Q ickTimTI ( c m r ss ) c m r ss r r t s t is ict r .


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Irrigacin




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QuickTiTI ( c r ss ) c r ss r

r t s t is ictur .

Irrig ci


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Pared Posterior del Abdomen Compuesta por:

Las 5 Vrtebras lumbares

Msculos: Psoas

Cuadrado Lumbar

Transverso del abdomen

Fascia Toraco Lumbar

Plexo Lumbar VAN


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Apendicetoma


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Anatoma

Mide 6 - 10cm

Se origina en la regin

posteromedial delCiego,

Se ubica buscando las

Tenias del ciego

Se irriga por medio de

la arteria apendicular

QuickTime and aTI ( ncompressed) decompressor

are needed to see t is picture.


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QuickTime and aTIFF (Uncompressed) decompressorare needed to see this picture.


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Laparoscopica


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QuickTimTI ( c m r ss ) c m r ss r

r t s t is ictur .


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Convencional


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Qui i

I ( r ) r r r t t i i tur .


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Laparoscopic versus open appendectomy:

Which way to go?

Ioannis Kehagias, Stavros Nikolaos Karamanakos, Spyros Panagiotopoulos, KonstantinosPanagopoulos, and Fotis Kalfarentzos

Abstract

AIM: To compare the outcome of laparoscopic versus openappendectomy.

METHODS: Prospectively collected data from 293 consecutive

patients with acute appendicitis were studied. These comprisedof 165 patients who underwent conventional appendectomyand 128 patients treated laparoscopically. The two groups werecompared with respect to operative time, length of hospitalstay, postoperative pain, complication rate and cost.


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Laparoscopic versus open appendectomy:

Which way to go?

RESULTS: There were no statistical differences regardingpatient characteristics between the two groups. Conversion to

laparotomy was necessary in 2 patients (1.5%). Laparoscopicappendectomy was associated with a shorter hospital stay (2.2d vs 3.1 d, P = 0.04), and lower incidence of wound infection(5.3% vs 12.8%, P = 0.03). However, in patients withcomplicated disease, intra-abdominal abscess formation wasmore common after laparoscopic appendectomy (5.3% vs2.1%, P = 0.002). The operative time and analgesiarequirements were similar in the two groups. The cost oftreatment was higher by 370 in the laparoscopic group.

CONCLUSION: Laparoscopic appendectomy is as safe andefficient as open appendectomy, provided surgical experience

and equipment are available.


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Gracias

..

Pared Abdominal y Apendicitis Aguda

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