Acute perforated appendicitis with peritonitis in an old and obese patient
Epublication WebSurg.com, Sep 2018;18(09). URL: http://websurg.com/doi/vd01en5319
The laparoscopic approach in emergency cases is revolutionary and provides a solution to prevent morbidity related to laparotomy, such as paralytic ileus, occlusion, hernia, more painkiller consumption, and also fewer cosmetic benefits. All these advantages must be applied to old patients with a high BMI. To prevent conversion due to hemodynamic instability, it is mandatory to work with an ultralow intra-abdominal pressure under 8mmHg. This clinical case demonstrates the feasibility, efficacy, and reproducibility of the minimally invasive approach in an old obese female patient using an ultralow intra-abdominal pressure.