Appendectomy

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located in the central or right lower quadrant of the abdomen; as well as nausea, vomiting, loss of appetite, constipation or diarrhea. If a blood test is performed, "An elevated white blood cell count and fever are also common. Physical examination reveals tenderness especially on rebound or a palpable abdominal mass in the area of the appendix (AST. 2007. Pg.434)."

Other structures involved during an appendectomy procedure include: the large intestine, the cecum- the portion above the appendix connecting to the colon. The muscles that are cut through are the external and internal oblique as well as the transversus abdominus. Layers involved are the skin, subcutaneous fat, fascia and peritoneum.

Equipment/Supplies:

Equipment used during an appendectomy include: suction apparatus, electrosurgical unit, sequential compression device and headlamp if available. A minor instrument set is used for this procedure.

Supplies needed during procedure include: prep set, basin ...

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vessel loops, hemoclips, Penrose drain, sutures, knife blades, hypos, Bovie tips, etc. The minor tray is placed at the center of the back table while the basin is placed on the top right corner of the table.

Mayo Stand:

The Mayo stand is draped with a Mayo stand drape. A towel is immediately placed on top of the Mayo stand. A roll towel is placed at the top right corner of the Mayo stand in which instrumentation such as 4 Kelly clamps, 4 Peans, 2 Kochers, 2 Babcocks, 2 Tonsil clamps as well as Mayo suture and tissue scissors and Metzenbaum scissors are placed. Placed on the bottom half of the Mayo stand are 2 Debakeys, 2 Adsons with teeth and 2 Goulet retractors. Light handles, ...

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