Appendix Removal Rong Li What is appendix Why

Appendix Removal Rong Li

• • What is appendix? Why does appendix need to be removed? How to remove appendix? What are consequences of appendix removal?

What is appendix? • The appendix is 3 -6 inch long tubelike structure that projects from the junction of the small and large intestines.

Why does appendix need to be removed? • appendicitis ---- acute or subacute process that causes the lumen of the appendix to become obstructed with buildup of pressure and eventual rupture. • Appendix is an degenerated organ.

How to remove appendix? preparation patient surgeon Operating room Cutting the body Stop blooding Removing the appendix Close the body

Appendix removal in detail • Preparation – Patient • Shave the body hair. • Restrict food intake – empty the stomach for anesthetic purpose. – Surgeon, nurser • Washing hands. • Wearing sterilized uniform, sterilized rubber gloves. – Operating room • Surgical kit • Procedure – Detail steps for appendix removal

Details of Surgical procedure 1. The body lays on a table, the body skin is sterilized and then a white sheet with a hole covers the body, the hole is the position for operating. 2. Make a short incision with a knife through the skin and underlying fat where the appendix is underneath. 3. Make a short incision with a knife on aponeurosis, further opening by using classical muscle splitting technique via homestat, until the peritoneum is visulized.

Surgical procedure details(Cont. ) 4. Open peritoneum with a small incision by using a knife. 5. Use hand-held retractor to widened the incision to expose the cecal area. 6. Find the appendix carefully, inspect it, cross-clamped with hemostats, two ties are placed on the area of crushed appendix and then remove it.

Surgical procedure details(Cont. ) 7. After inspecting bleeding, aponeurosis are reapproximated. 8. Close the subcutaneous tissue. 9. Close the skin with staples.

What are consequences of appendix removal? NO