Appendix Removal

1. Appendix Removal Rong Li

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

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

4. 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.

5. How to remove appendix? Cutting the body Removing the appendix Stop blooding Close the body

6. 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

7. Details of Surgical procedure • 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. • Make a short incision with a knife through the skin and underlying fat where the appendix is underneath. • Make a short incision with a knife on aponeurosis, further opening by using classical muscle splitting technique via homestat, until the peritoneum is visulized.

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

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

10. What are consequences of appendix removal? NO