ArticleCureus2025
Transumbilical Laparoscopic-Assisted Appendectomy (TULAA): A Fast, Safe, and Scarless Alternative to Conventional Three-Port Laparoscopic Appendectomy in Pediatric Patients.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Practical Benefits of Single- vs. Three-Port Laparoscopic Appendectomy for Pain Relief and Long-Term Cosmesis in Pediatric Patients: A Prospective Comparative Study.Journal of clinical medicine · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcute appendicitis is a common pediatric surgical emergency requiring timely intervention. Conventional three-port laparoscopic appendectomy (CLA) is widely used, offering reduced postoperative pain, faster recovery, and lower wound infection rates. The transumbilical laparoscopic-assisted appendectomy (TULAA) technique, a single-incision approach, promises improved cosmetic outcomes, shorter operative time, and reduced morbidity. This study aims to compare TULAA and CLA in terms of surgical efficiency, postoperative pain, complications, hospital stay, conversion rate, and cosmetic acceptance. MATERIALS AND
methodsThis comparative study was conducted at Shri B.M. Patil Medical College, Vijayapura, India, from September 2023 to September 2024. A total of 36 patients under 18 years with appendicitis were enrolled (18 in the TULAA group and 18 in the CLA group). Primary outcomes assessed included operative time, pain (using visual analogue scale, or VAS), complications, wound issues, hospital stay, conversion rate, and cosmetic acceptance.
resultsTULAA demonstrated a significantly shorter operative time (p<0.001) and lower postoperative pain (p=0.0009) compared to CLA. Hospital stay was shorter in the TULAA group (p=0.0008). While no significant difference in postoperative complications (p=0.1456) was observed, cosmetic acceptance was notably better in TULAA (p<0.001).
conclusionTULAA is a quick, safe, and cosmetically superior alternative to CLA in pediatric appendicitis, offering shorter operative time, reduced pain, and enhanced recovery.
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