Laparoscopic.com - Appendectomy
surgeon: Mark Pleatman, MD
Laparoscopic Appendectomy
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This is a normal appendix in a female patient found
to have an infection of the reproductive organs. Since the appendix
serves no useful function, it will be removed to save her from
ever getting appendicitis in the future
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The first step is to free up the appendix down to where
it is attached to the large bowel. This requires dividing the
mesentery which contains the blood vessels that supply the appendix.
Bipolar forceps apply an electric current which seals the blood
vessels and prevents bleeding.
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Next, scissors are used to divide the mesentery. Alternating application of the bipolar forceps and scissors allow complete mobilization of the appendix down to its base.
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Now the base of the appendix is tied off using a pretied
suture which is now being positioned.
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The suture has now been tightened and appears secure.
The knot is a fisherman's knot, which can be tightened, but will
not loosen on its own.
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As shown in this picture, the suture is now cut with the scissors.
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Finally, the appendix is cut free and is ready to be removed.
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The operation is complete, and the area is inspected a
final time to make sure there is no bleeding.
