What are the procedures of appendectomy

summary

The appendix is the last segment of our small intestine. Some time ago, my appendix had been in pain. I went to the hospital for examination and said that I had to remove the appendix. I would like to explain to you what the appendectomy procedures are and what the appendectomy procedures are

What are the procedures of appendectomy

Step 1: after successful anesthesia, take the flat supine position, disinfect and spread the towel in routine operation. The right lower abdominal incision (or vertical incision beside rectus abdominis) was taken, about 5 cm in length. The skin and subcutaneous tissues were incised, the aponeurosis of external oblique muscle was incised, the internal oblique muscle and transverse abdominal muscle were blunt separated, and the peritoneal layer was incised. Appendix is the end of the intestines in the human body, which is not important. It is in an dispensable state, but it is certainly useful in the body.

Step 2: after opening the abdominal cavity, the exploration showed that the appendix was anterior cecum, hyperemia and edema, partial suppuration, no gangrene and perforation, and a small amount of purulent exudation in pelvic cavity and colon fossa. Clamp the appendix with appendix forceps and lift it out of the incision.

Step 3: double ligation with No.4 silk thread after cutting the mesentery in the appendix root. Around the root of the appendix, No.1 silk thread was used as a purse string suture of the seromuscular layer on the cecal wall. The appendix was ligated with No.7 silk thread about.3cm from the appendix root to the cecum. The appendix was clamped with curved vascular forceps 0.5cm from the ligation line, and then the appendix was removed close to the curved vascular forceps. The stumps were rubbed with carbolic acid alcohol normal saline in turn. Tighten the purse string to embed the appendix stump. Put the cecum back to its original place, clean up the purulent secretion of abdominal cavity with clean wet gauze, check that there is no active bleeding, count the surgical instruments, gauze, needle and thread, and then close the abdomen layer by layer. The specimens were examined by their families and then sent for pathological examination.

matters needing attention

Even if you can eat, it doesn't mean you can eat immediately as usual. Should be strictly in accordance with the doctor's advice, when the exhaust given a small amount of fluid, such as rice soup, and then gradually increase the amount of fluid. Slowly transition to semi liquid, such as porridge, about 5-7 days when you can give some soft rotten digestible rice. Do not eat some stimulating food, to maintain a good sleep, to eat some easy to digest food, and to maintain a good mood.