laparoscopic appendicectomy- operative surgery

LAPAROSCOPIC APPNDICECTOMY

DR.B.Selvaraj MS; Mch; FICS;Professor of SurgeryMelaka Manipal Medical CollegeMelaka 75150 Malaysia

OPERATIVE SURGERY

LAPAROSCOPIC APPENDICECTOMY

• INDICATIONS: - Ac. Appendicitis - Subacute Appendicitis - Diagnostic Laparoscopy in doubtful cases• ANESTHESIA: - GA (ET)• POSITION: - Supine with slight left tilt

• Informed consent- risks of surgery: - Post-op adhesions < 1% - Intra abdominal abscess <8% - Fecal fistula < 2% - Injury to hollow viscus & vascular injury - Hypercarbia - Air embolism - Conversion to open method if dense adhesions

LAPAROSCOPIC APPENDICECTOMY

• Position of patient & surgeon

• Port Placement

LAPAROSCOPIC APPENDICECTOMY

• Identification of Appendix

• Skeletonisation of Appendix

LAPAROSCOPIC APPENDICECTOMY

• Ligation of appendix base

• Transaction of Appendix

LAPAROSCOPIC APPENDICECTOMY

• Alternate Method

• Stapler Method

LAPAROSCOPIC APPENDICECTOMY

• Retrocecal Appendicitis

• Retrograde Appendicectomy

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