
appendicectomy surgery
Appendicectomy: Appendicectomy is the removal by surgery of the appendix, the small worm-like appendage of the colon (the large bowel). An appendicectomy is performed because of probable appendicitis, inflammation of the wall of the appendix generally associated with infection.
This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis.
Appendicectomy may be performed laparoscopically or as an open operation.
In an open appendicectomy, the abdomen is prepared and draped and is examined under anaesthesia. If a mass is present, the incision is made over the mass, otherwise, the incision is made over McBurney's point, one third of the way from the anterior superior iliac spine (ASIS) and the umbilicus; this represents the position of the base of the appendix . The various layers of the abdominal wall are then opened. The appendix is identified, mobilized and then ligated and divided at its base.
Some surgeons choose to bury the stump of the appendix by inverting it so it points into the caecum. Each layer of the abdominal wall is then closed in turn.
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