Pelvic Appendix Hidden by Ileus | Safe Laparoscopic Appendectomy

A challenging case of acute appendicitis involving a deep pelvic appendix positioned close to the rectum, with associated ileus significantly limiting laparoscopic exposure and bowel handling.

This video demonstrates the operative strategy for safe pelvic dissection, careful exposure in a hostile abdomen, and laparoscopic appendectomy using LT400 clips for secure appendiceal stump control.

Key surgical points include:
• Identification of a pelvic appendix adjacent to the rectum
• Difficult exposure due to bowel distension and ileus
• Safe laparoscopic dissection strategy
• Appendix mobilization in a narrow pelvic field
• LT400 clip application for appendiceal base closure
• Technical tips to maintain safety during challenging appendectomy cases

This content is intended for surgical education and minimally invasive surgery training.

Видео Pelvic Appendix Hidden by Ileus | Safe Laparoscopic Appendectomy канала Like a Surgeon