Friday, August 15, 2014

SURGICAL PROCEDURE 8 Appendectomy


     Appendectomy
Objective
•   In cases of acute or recurrent acute infection of the appendix or tumors of the appendix or carcinoid
•   Access to the organs in the right Iliac fossa
•   To excise the deceased appendix.
Position
Supine.
Anesthesia
General, epidural or spinal.
Procedure
1.  A right gridiron incision.
2.  Deliver cecum and trace a laenia to the base of the appendix.
3.  Mobilize appendix to its base by dividing mesoappendix serially between ligatures.
4.  Crush base of appendix with hemostat and tie crushed area with 20 silk suture.
5.  Cut above tie and remove appendix (send for histology).
6.  Invert appendix stump with a purse string suture on the cecum.
Instruments
•   Appendectomy set.

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