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HOW I DO IT / HOW I DID IT SURGICAL PROCEDURES |
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ACUTE APPENDICITIS (Uncomplicated)
§ Patient lying supine under SAB § Aseptic antiseptic technique done § Sterile drapes place § A transverse incision at RLQ carried down up to subcutaneous tissue § Fascia opened and muscle splitting done § Peritoneum opened § Intraoperative findings noted § Appendix identified and grasp with babcock § Mesoappendix serially clamped, cut and ligated § Base of the appendix ligated, milked and cut § Appendiceal stump painted with betadine § Hemostasis § Complete sponge and instrument count § Layer by layer closure: © Peritoneum closed by continous interlocking using Vicryl 0 © Fascia closed by continous interlocking using Vicryl 0 © Skin closed by simple interrupted suture using Silk 4-0 § Dry sterile dressing § Patient tolerated procedure well |