APPENDECTOMY

(Acute Non-Perforative Appendicitis)

Operative Technique:

Patient supine under SAB/CLEA/General Anesthesia

Asepsis and antisepsis technique

Sterile drapes placed

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

carried from skin through subcutaneous tissue

External oblique aponeurosis cut and opened along its fibers

Muscle splitting along fibers

Peritoneum entered

Intra-operative Findings noted

Appendix identified

Mesoappendix serially clamped, divided and ligated

Base of appendix tied, milked, clamped and cut

Appendiceal stump painted with betadinized cotton

Hemostasis

Correct sponge/instrument count

Peritoneum closed continuously using vicryl 0

NSS wash

External Oblique aponeurosis closed continuously using vicryl 0

NSS was

Skin closed interruptedly using silk 4.0

Betadine paint

Dry sterile dressing placed.