LAPAROSCOPIC APPNDICECTOMY DR.B.Selvaraj MS; Mch; FICS; Professor of Surgery Melaka Manipal Medical College Melaka 75150 Malaysia OPERATIVE SURGERY
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LAPAROSCOPIC APPNDICECTOMY
DR.B.Selvaraj MS; Mch; FICS;Professor of SurgeryMelaka Manipal Medical CollegeMelaka 75150 Malaysia
OPERATIVE SURGERY
LAPAROSCOPIC APPENDICECTOMY
• INDICATIONS: - Ac. Appendicitis - Subacute Appendicitis - Diagnostic Laparoscopy in doubtful cases• ANESTHESIA: - GA (ET)• POSITION: - Supine with slight left tilt
• Informed consent- risks of surgery: - Post-op adhesions < 1% - Intra abdominal abscess <8% - Fecal fistula < 2% - Injury to hollow viscus & vascular injury - Hypercarbia - Air embolism - Conversion to open method if dense adhesions
LAPAROSCOPIC APPENDICECTOMY
• Position of patient & surgeon
• Port Placement
LAPAROSCOPIC APPENDICECTOMY
• Identification of Appendix
• Skeletonisation of Appendix
LAPAROSCOPIC APPENDICECTOMY
• Ligation of appendix base
• Transaction of Appendix
LAPAROSCOPIC APPENDICECTOMY
• Alternate Method
• Stapler Method
LAPAROSCOPIC APPENDICECTOMY
• Retrocecal Appendicitis
• Retrograde Appendicectomy
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