Introduction:
Operation Notes for Laparoscopic Appendectomy: An appendectomy is a surgical procedure to remove the appendix. This procedure is most commonly performed to treat acute appendicitis, which is a medical emergency characterized by inflammation of the appendix. An appendectomy can be performed either by an open surgical approach or laparoscopically, depending on the patient’s condition and the surgeon’s judgment.
Date: [Current Date]
Patient: [Patient’s Name]
Surgeon: [Surgeon’s Name]
Assistant:
Procedure: Laparoscopic Appendectomy
Procedure
- Positioning:
- The patient was positioned in supine position with arms tucked at the sides.
- Skin Preparation:
- The abdominal area was cleaned and draped in a sterile fashion.
- Trocar Placement:
- A small incision was made at the umbilicus and a Veress needle was used to establish pneumoperitoneum. A 10mm trocar was placed at the umbilicus under direct vision using an open technique. Two additional 5mm trocars were placed in the lower abdomen under direct vision.
- Identification of Appendix:
- The appendix was identified and mobilized. The mesoappendix was divided using a combination of electrocautery and harmonic scalpel.
- Appendix Removal:
- The base of the appendix was doubly ligated using endoloops, then transected and placed into an endoscopic retrieval bag. It was removed through the umbilical port.
- Inspection:
- The peritoneal cavity was thoroughly inspected for any signs of spillage or other pathology.
- Hemostasis:
- Hemostasis was confirmed with no active bleeding noted.
- Port Closure:
- The trocars were removed under direct vision and the pneumoperitoneum was deflated.
- Skin Closure:
- The incision sites were closed with absorbable sutures and dressed appropriately.
Postoperative Plan: [As Suggested by Surgeon]
