APPENDECTOMY

(Acute Non-Perforative Appendicitis)

index

table of contents

my operations

How I did It?

Operative Technique:

Ø      Patient supine under SAB/CLEA/General Anesthesia

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Incision made ( Rocky-Davis[transverse] and McBurney[oblique])

      carried from skin through subcutaneous tissue

Ø      External oblique aponeurosis cut and opened along its fibers

Ø      Muscle splitting along fibers

Ø      Peritoneum entered

Ø      Intra-operative Findings noted

Ø      Appendix identified

Ø      Mesoappendix serially clamped, divided and ligated

Ø      Base of appendix tied, milked, clamped and cut

Ø      Appendiceal stump painted with betadinized cotton

Ø      Hemostasis

Ø      Correct sponge/instrument count

Ø      Peritoneum closed continuously using vicryl 0

Ø      NSS wash

Ø      External Oblique aponeurosis closed continuously using vicryl 0

Ø      NSS was

Ø      Skin closed interruptedly using silk 4.0

Ø      Betadine paint

Ø      Dry sterile dressing placed.