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.
Any questions be sent to drmmkapur@gmail.com
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