Operation: Date:
CEPOD:
Surgeon: Assistant: Anaesthetist:
Anaesthetic:
ASA Grade:
WHO Checklist:
Antibiotics:
Urinary Catheter: Patient Position:
Prep and drape in sterile fashion.
INTRA-OP
INCISION: Open Hasson technique, Supraumbilical 10mm Hasson Blunt port, LIF 5mm and Suprapubic 5mm ports under direct vision
FINDINGS: Inflammed Appendix with free fluid pelvis
PROCEDURE: Appendix dissected off Mesoappendix Clips to appendicular vessels. Endoloop on Appendicular vessels as well. Endoloops 3 x PDS on Appendix base, 2 to stay. Appendix divided at base and brought out using BERT bag Suction irrigation Hemostasis ensured Instrument and textiles count told as being correct. No. 20 drain in pelvis – secured
POST-OP
POST OPERATIVE INSTRUCTIONS: LMWH at 18:00 hours Diet: Eat and Drink as tolerated Post op bloods tomorrow (ddmm) Drain to be emptied/measured at 08:00 daily