Use of Palmer's Technique as Primary Access Point in Surgery for Appendicular Lump and Difficult Appendicitis

It’s commonly observed the appendicular mass/lump presentation in a patient with delayed presentation of appendicitis. And sequel of this mass/lump is gangrene, perforation, or abscess formation. As it has been found in multiple studies, the early surgical intervention results in reduced complicated sequel. Thus here we are discussing the use of Palmer’s entry technique as the primary access point so as it gives the enhanced visualization of intraabdominal structures as well as avoiding injuries to the abdominal organs, which can be encountered in paraumbilical as primary access point approach. Total of 15 patients were diagnosed with appendicular lump/mass, clinically as well as with radiological diagnosis between the period of MARCH 2024 to JUNE 2024. Those all patients were managed by surgical intervention that is Laparoscopic Appendicectomy, with Palmer’s point as the primary access point.