Laparoscopic Appendicectomy

  • PREOP

Antibiotics checked/given 

Hair removal done

Catheter inserted

INTRAOP

  • Findings: Inflammed Appendix . No other gross abnormality.

 

  • Incision:

Open Hasson technique.

Supraumbilical 10mm port.

Left Iliac Fossa and Suprapubic 5mm ports under direct vision avoiding bladder.

  • Procedure:

Appendix dissected off Mesoappendix.

Clips to appendicular vessels.

Endoloops 3 x PDS/Vicryl on Appendix base; 2 to stay.

Appendix divided at base and brought out using BERT bag.

Hemostasis ensured.

Instrument and textile count told as being correct.

  • Closure:

No.1 PDS Fascial sutures umbilical port.

3.0 monocryl subcuticular sutures to skin.

Dressings.

POST OP INSTRUCTIONS:

  1. Regular observations
  2. Bloods tomorrow (Date ../..)
  3. Eat and Drink as tolerated