This document discusses special situations that may occur during laparoscopic appendectomy surgery. It notes that port positions may need to be modified for pregnancy and the appendix may need to be dissected along Toldt's white line if it is retrocaecal and extraperitoneal. For appendicular abscess, drainage and toiletting are needed to identify and remove the ruptured appendix, converting to open surgery if necessary. For an appendicular mass, conservative treatment is followed by interval appendectomy after one and a half months.

1. DR SREEJOY PATNAIK

10. Special situations
Pregnancy- Modifed port positions,Hasson`s open
technique of first port insertion, other port positions
suitably modified
Retrocaecal extraperitoneal appendix- Dissection
along Toldt`s white line to free the appendix
Appendicular abscess- drainage,toiletting,identify
ruptured appendix and remove. Covert to open if
necessary
Appendicular mass- Coservative treatment followed
by interval appendecectomy after one and half
months