EFFECT OF USING SAME DERMATOME LİNE FOR ALL PORT SİTES IN LAPAROSCOPIC APPENDECTOMY IN ACUTE APANDICITIS
EFFECT OF USING SAME DERMATOME LİNE FOR ALL PORT SİTES IN LAPAROSCOPIC APPENDECTOMY IN ACUTE APANDICITIS
Acute apandicitis is the one of most common cause of abdominal pain.Most of center still use
 open appendectomy(OA) technic for acute apandisitis.But Semm was defined Laparoskopic
 appendectomy(LA) with 3 ports in 1983.Today surgeons skill and experience ara increasing
 about LA day by day. Because of advantages of LA , this technical tend to be gold standart in
 acute apandisitis. In LA , all of centers use same technic as 3 ports for the surgery. Port
 sites located 1 infraumbilical , 1 right lower quadrant and 1 left lower quadrent in this
 surgery. But 3 dermatome lines have been effected in this style of location .This 3 points
 causes more pain postoperatively.In our study we will define the port locations into the same
 dermatome line (T10) . Purpose of this research is incerasing the postoperative pain score
 ,decreasing postoperative need of analgesia and develop the patient satisfy.
Most of surgeon use 3 port sites for the Laparoscopic appendectomy in acute apandisitis. One
 of them places to infraumbilical region.,The other ports place to 1 right lower quadrant and
 1 left lower quadrent routinly. In this study we will define T10 dermatome lregion in 40
 patients who are planing to Laparoscopic appendectomy because of acute apandisitis older than
 18 years old , before the surgery . All of LA port sites will put in this region .One of the
 port will put in infraumbilical site and the other ones will put 10 cm right and left side
 from infraumbilical port. In control group classic LA port sites will be used in the surgery
 for 40 patients.These two groups will compare after the surgery by Visual Analog Scala (VAS)
 Postoperative pain quantity will save by using VAS. Measurements will save in 1 hour,2 hour ,
 6 hour ,12 hour and 24 hour. All patients will take the same pain relief medication
 peroperatively and postoperatively. If the pain score would be more than 3 in VAS , all
 patient will take additional analgesic doses.Patients and VAS researcher will not know the
 patients group .Study will do as double blind.
Inclusion Criteria:

 -  The patients who will undergo to Laparoscopic Appendectomy for Acute Apandisitis older
 than 18 years old.

 Exclusion Criteria:

 -  Perforated apandisitis

 -  Plastrone apndisitis