Appendicectomy (Laparoscopic)

Table of Contents

PRE-OP

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