Appendectomy
Definition
In cases of acute appendicitis or as an interval appendectomy
procedure.
Objectives
• To remove the appendix to
prevent complications
• Invert
the appendiceal stump.
Position
Supine.
Anesthesia
General with endotracheal intubation.
Procedure
1. A 5 cm long skin crease
incision of McBurney’s point on right side.
2. Open
the peritoneal cavity by separating muscles.
3. Identify
and grasp the appendix.
4. Identify
and ligate the appendicular artery.
5. Define
the base of appendix from all sides.
6. Crush
and ligate the appendix near its base.
7. Invaginate
the stump within the purse string suture.
8. Assess
for Meckel’s diverticulum, if any.
9. Close
the wound in layers.
Instruments
• General pediatric
surgical set.
Suture
• 3/0 Catgut 2
• 4/0
Silk 1
• 4/0
Nylon 1.
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