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Appendix Removal. Rong Li. What is appendix? Why does appendix need to be removed? How to remove appendix? What are consequences of appendix removal?. What is appendix?. The appendix is 3-6 inch long tubelike structure that projects from the junction of the small and large intestines.
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Appendix Removal Rong Li
What is appendix? • Why does appendix need to be removed? • How to remove appendix? • What are consequences of appendix removal?
What is appendix? • The appendix is 3-6 inch long tubelike structure that projects from the junction of the small and large intestines.
Why does appendix need to be removed? • appendicitis ---- acute or subacute process that causes the lumen of the appendix to become obstructed with buildup of pressure and eventual rupture. • Appendix is an degenerated organ.
How to remove appendix? Cutting the body Removing the appendix Stop blooding Close the body
Appendix removal in detail • Preparation • Patient • Shave the body hair. • Restrict food intake – empty the stomach for anesthetic purpose. • Surgeon, nurser • Washing hands. • Wearing sterilized uniform, sterilized rubber gloves. • Operating room • Surgical kit • Procedure • Detail steps for appendix removal
Details of Surgical procedure • The body lays on a table, the body skin is sterilized and then a white sheet with a hole covers the body, the hole is the position for operating. • Make a short incision with a knife through the skin and underlying fat where the appendix is underneath. • Make a short incision with a knife on aponeurosis, further opening by using classical muscle splitting technique via homestat, until the peritoneum is visulized.
Surgical procedure details(Cont.) • Open peritoneum with a small incision by using a knife. • Use hand-held retractor to widened the incision to expose the cecal area. • Find the appendix carefully, inspect it, cross-clamped with hemostats, two ties are placed on the area of crushed appendix and then remove it.
Surgical procedure details(Cont.) • After inspecting bleeding, aponeurosis are reapproximated. • Close the subcutaneous tissue. • Close the skin with staples.