Technique It is recommended that the open technique is used for insertion of the first port. Grade B Acute Appendicitis With a clinical diagnosis of acute appendicitis, it is reasonable to confirm the diagnosis with laparoscopy and laparoscopic appendicectomy is an acceptable approach. Grade A It is recommended that women of child-bearing age suspected of having acute appendicitis be considered for diagnostic laparoscopy prior to the planned appendicectomy. Open appendicectomy is acceptable following diagnostic laparoscopy. Grade B It is recommended that the macroscopically normal appendix is left in situ. Grade B Trauma Diagnostic laparoscopy has limited application in patients with blunt abdominal trauma. Grade B Diagnostic laparoscopy is helpful in assessing haemodynamically stable patients with penetrating abdominal trauma. Grade B Introduction
Medicine and Health Sciences | Surgery
HP Redmond, E Andrews, ADK Hill. Diagnostic Laparscopy Clinical Guidelines. Dublin: Royal College of Surgeons in Ireland, 2005.