Hanging the appendix to the abdominal wall using ties during laparoscopic appendectomy: a technique report and preliminary results

Introduction: Laparoscopic appendectomy is an effective and safe procedure for acute appendicitis. The cost of laparoscopic appendectomy is higher in both simple and complex cases. In this study, we aim to present a new technique to be used during laparoscopic appendectomy with the aim of reducing the cost. We also present the preliminary results. Patients and methods: The technique entails hanging the appendix to the abdominal wall using ties applied through the abdominal wall to inside the peritoneum and back to outside the abdomen. The technique was used on 50 patients during laparoscopic appendectomy. Results: The mean operative time was 51.8 min. In three cases, the tie caused a tear in the mesoappendix of the distal appendix. In one case, minimal trauma to the small intestines occurred. In a fifth case the very short and inflamed mesoappendix necessitated the use of a harmonic blade to secure it. Conclusion: Within the limitation of this study, we can conclude that laparoscopic appendectomy with hanging of the appendix to the abdominal wall using ties is a technically safe, feasible, and cheap method that can be adopted when facilities and funds are limited.