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Appendix Surgery Diabetes & Obesity, Hernia Surgical Solution is a Pune based organization specialising in the field of Minimal Invasive (Laparoscopic) and Bariatric (Obesity) surgeries.
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Appendix www.dossindia.com
Appendicitis • Inflammation of the appendix is known as appendicitis. www.dossindia.com
Appendix • The vermiform or worm like appendix, arising from the posteromedial wall of the caecum,about 2cm below the ileocaecal orifice. • Dimensions: • The length varies from 2 to 20 cm or 2-9 in. with an avarage of 9cm. • It is longer in children than adults. The diameter is about 5mm. • The lumen is quite narrow and may be obliterated after mid adult life. www.dossindia.com
Positions • The appendix lies in the right iliac fossa. • Although the base of the appendix is fixed, the tip can point in any direction. • parabolic 11 o’ clock • retrocaecal or colon • the splenic 2 o’ clock • horizontally to the left 3 o’clock • pelvis(pelvic) 4 o’clock • mid inguinal 6 o’clock www.dossindia.com
Peritonial relations • The appendix is suspended by a small, triangular fold of peritoneum, called the mesoappendix, or appendicular mesentery. • The fold passes upwards behind the ileum, and is attached to the left layer of the mesentery. www.dossindia.com
Arterial blood supply www.dossindia.com
Appendicitis Physical signs • Hyperesthesia in the right iliac fossa • Tenderness at Mc berney’s point • Muscle guard and rebound tenderness over the appendix • Rovsing’s sign • Cope’s psoas test • Cope’s obturator test www.dossindia.com
Commonest causes • Obstructive causes: 1. Faecolith 2. Caliculi 3. Foreign body 4. Tumor 5. Worms 6. Diffuse lymphoid hyperplasia • Non obstructive causes: 1. Haematogenous spread of generalized infection 2. Vascular occlusion 3. In appropriate diet lacking roughage www.dossindia.com
Contact Us Dr. SatishPattanshetti M.S ( Gen. Surg ) , F M A S Fellowship in Bariatric and Metabolic Surgery (Taiwan) Consulting Laparoscopic & General Surgeon Bariatric & Metabolic Surgeon Specialist in Single port Laparoscopic Surgery Dr. Neeraj V Rayate Director and Principal Surgeon Dr NeerajRayate is a GI and General surgeon with expertise is laparoscopic and robotic surgery for gastro-intestinal diseases and bariatric surgery. After completing his medical education in India. He has also completed a fellowship in Gynecological Endoscopy from the Giessen School of Endoscopic Surgery in Germany. Dr. Rayate has special interest in Hepatopancreatobiliary surgery and gynecolological oncology. www.dossindia.com