Laparoscopic Appendicectomy (with drain)

WHO Check list.

• Pre op:

Checked had had Antibiotics (Co-Amoxiclav) within last 8 hours OR

Given IV Antibiotics (Co-Amoxiclav)

• Findings:  Inflammed Appendix with free fluid pelvis

• Incision: Open Hasson technique, Supraumbilical 10mm Hasson Blunt port, LIF 5mm and Suprapubic 5mm ports under direct vision.

• Procedure:

Appendix dissected off mesoappendix.

Clips to appendicular vessels.

Endoloop on Appendicular vessels as well.

Endoloops 3 x PDS on Appendix base, 2 to stay.

Appendix divided at base and brought out using BERT bag.

Suction irrigation till clear.

Hemostasis ensured.

Instrument and textiles count told as being correct.

No. 20 drain in pelvis – secured.

• Closure:

No.1 PDS Fascial sutures umbilical port.

3.0 monocryl subcuticular sutures to skin.

Dressings

• Post Operative Instructions: 

1. Dalteparin at 18:00 hours
2. Drain to be emptied at 8am daily
3. Bloods tomorrow
4. Continue antibiotics total 5 days (48 hours IV, 72 hours PO)