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Surgicol Procedures lncludlng Minimol Access Procedures

Gostrointestinol Surger/

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lnstrumentotion Major procedures tray Long instruments tray Gastrointestinal procedures tray Hemoclip appliers (various sizes and lengths) Automatic stapling device (optional)
Supplies Basin set Blades (3) No. 10, (1) No. 15 Needle magnet or counter

appendicitis, in which case the skin and subcutaneous tissues are often left open. A drain may be placed into the abscess cavrty exiting through the incision or a stab wound. Antibiotic irrigation may be used.

boards. Apply electrosurgical dispersive pad. Skin Preporotion

fteporotion of the Potient lbe patient is supine; arms may be extended on arm,

Electrosurgical pencil
Suction tubing Hemoclips (various sizes) Marking pen (optional) Staples (optional) Ileostomy appliance (e.9., Karaya Seal) APPENDECTOIIIY

Begin in lower right quadrant (McBurney incision is frequlntly used) extending from nipples to upper thighs, and down to the table at the sides.
n_ ost

Droping
Folded towels and a laparotomy sheet

Equipment Hectrosurgical unit

Definition
Excision of the appendix, usually performed to remove the acutely inflammed organ.

Hrumentotion
BasiclNtlinor procedures tray

S.pplies
Basin set

Discusion An incidental appendectomy may be performed in conjunction with other abdominal surgery. Procedure An incision is made in the right lower abdomen either transversely oblique (McBurney) on vertically for primary appendectomy. The appendix is identified and its vascular supply ligated. The appendix is ligated, that is, the stump is tied off with absorbable suture. The appendix is removed, and the stump may be inverted in the cecum, cauterized with chemicals or electrocoagulation, or simply left alone after ligation. Another technique is to devascularize the appendix and invert the entire appendix into the cecum. The wound is closed in
layers excbpt when an abscess has occurred with acute

il[edes (3) No. 10 lleedle magnet or counter Hectrosurgical pencil ftrlture tube (aerobic and anaerobic) Srain (e.g., Penrose, 14", optional)
"fmtiobiotic irrigation (optional) Notes

lhsfiruments used for amputation of the appendix are

bbe

isolated in a basin.

APPENDECIOMY excision of the appendix.