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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
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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
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Laparoscopica
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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
..