Laparoscopic Appendicectomy
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| Pneumoperitoneum Created Through Umbilical Port |
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| Port Positions for Lap Appendicectomy |
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| Port sites, after closure-Lap Appendicectomy |
Laparoscopic Appendicectomy is now becoming the standard of care for Acute or Chronic appendicitis.
Port positions are :-
One 10 mm Port- Umbilicus
One 5mm Port- Infra umbilical in midline
One 5mm Port-Left iliac fossa
Procedure:-
Pneumo peritoneum is created to through the umbilical port. It is used as the camera port.
Two 5mm working ports are placed; one in the infra umbilical area in the midline and another in the left iliac fossa.
Appendix is visualized. Meso appendix is cauterized. Base of the appendix delineated.
Two ligatures are placed with 2 O vicryl at the base of the appendix at a distance of 1cm apart.
Appendix is divided between two ligatures and removed through one 5mm port.
Port sites are closed.
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