The "double endoloop" technique--a simple alternative technique for laparoscopic appendectomy.

Diagnostic laparoscopy is now being frequently used in the emergency management of patients with acute lower abdominal pain, particularly where appendicitis is suspected. It is particularly useful in women where other responsible gynecologic causes can be diagnosed and treated thereby decreasing the rate of negative open appendectomy. Recent advances in laparoscopic techniques have resulted in increasing numbers of patients proceeding to laparoscopic appendectomy. Here, we describe a modification of laparoscopic appendectomy using a "double endoloop technique." We have used this method in 53 patients during last 18 months in selected cases. The procedure is simple, quick, effective, and cheap.