Introduction
Operation Notes for Open Appendectomy: An open appendectomy is a surgical procedure where the appendix is removed through a single larger incision in the lower right area of the abdomen. It is one of the approaches to treat acute appendicitis, and may be chosen over a laparoscopic approach under certain circumstances such as severe infection or rupture of the appendix.
Date: [Current Date]
Patient: [Patient’s Name]
Surgeon: [Surgeon’s Name]
Procedure: Open Appendectomy
Procedure
- Positioning:
- The patient was positioned in a supine position with arms tucked at the sides.
- Skin Preparation:
- The right lower quadrant of the abdomen was cleaned and draped in a sterile fashion.
- Incision:
- A McBurney’s or gridiron incision was made in the right lower quadrant of the abdomen.
- Dissection:
- The layers of the abdominal wall were sequentially incised and dissected. The peritoneum was carefully opened.
- Appendix Identification:
- The appendix was identified, mobilized, and the mesoappendix was divided using a combination of electrocautery and ligatures.
- Appendix Removal:
- The base of the appendix was doubly ligated with silk sutures and then the appendix was transected. The appendiceal stump was buried by inversion into the cecum using a purse-string suture if deemed necessary by the surgeon. The removed appendix was sent for histopathologic examination.
- Peritoneal Cavity Inspection:
- The peritoneal cavity was carefully inspected for any other pathology and any signs of spillage from the appendix.
- Hemostasis:
- Hemostasis was checked and confirmed.
- Closure:
- The peritoneum and muscle layers were closed using absorbable sutures. The skin was closed using non-absorbable sutures or staples and dressed appropriately.
Postoperative Plan: [As suggested by surgeon]
