Ports: One 10mm open Hasson technique using blunt Hasson port
Three 5mm ports under direct visualisation, of which two in RUQ and one in RIF
Prep and drape in sterile fashion.
The patient was placed in the lithotomy position and general anesthesia was induced.
A four-port technique was used for the laparoscopic surgery.
The patient's abdomen was insufflated with carbon dioxide to a pressure of 12 mmHg.
The camera port was inserted at the umbilicus.
The three working ports were inserted at the left iliac fossa, right iliac fossa, and midclavicular line.
The dissection was started by dividing the white line of Toldt, mobilization of the colon and identification of the ileocolic vessels.
The vessels were ligated with endo-GIA stapler and divided. The right colon was mobilized and the right colon was divided using a linear stapler.
The specimen was removed in a retrieval bag.
A drain was placed in the pelvic area and the ports were removed.
No. 1 PDS box stitch to fascia for Umbilical & Epigastric port 3.0 monocryl subcuticular sutures
Interrupted sutures to skin Dressings
POST OPERATIVE INSTRUCTIONS:
Post op bloods tomorrow (ddmmyy)
Diet: Eat and Drink as tolerated
LMWH at 18:00 hours