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  • Title
  • 1. Introduction
  • 2. Draping
  • 3. Gain Laparoscopic Access via Cut Down Technique at Umbilicus
  • 4. Dissection
  • 5. Transect Base of Appendix from Cecum with Abdominal Load Stapler
  • 6. Remove Appendix
  • 7. Umbilical Hernia Repair
  • 8. Closure
  • 9. Post-op Remarks

Laparoscopic Interval Appendectomy and Open Umbilical Hernia Repair

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John Grove1; Naomi Sell, MD2; Thomas O'Donnell, MD2; Noelle N. Saillant, MD2
1Lincoln Memorial University – DeBusk College of Osteopathic Medicine
2Massachusetts General Hospital

General Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Draping
      1. 3. Gain Laparoscopic Access via Cut Down Technique at Umbilicus
        1. 4. Dissection
          1. 5. Transect Base of Appendix from Cecum with Abdominal Load Stapler
            1. 6. Remove Appendix
              1. 7. Umbilical Hernia Repair
                1. 8. Closure
                  1. 9. Post-op Remarks
                    1. Identify Cecum and Appendix
                    2. Adhesiolysis
                    3. Make Window into Mesentery at Junction with Cecum
                    1. Mobilize Appendix
                    2. Divide Mesentery and Blood Supply with Vascular Load Stapler
                    3. Inspect for Hemostasis Along Staple Lines
                    4. Place in Specimen Bag and Remove from Abdomen
                    5. Remove Ports and Desufflate Abdomen
                    1. Identify Hernia Defect
                    2. Amputate Stalk Completely
                    3. Remove Hernia Sac
                    4. Repair Opening in Fascia
                    5. Reattach Umbilical Stalk to Fascia

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                    Authors

                    Filmed At:

                    Massachusetts General Hospital

                    Article Information

                    Publication Date
                    Article ID270
                    Production ID0270
                    Volume2023
                    Issue270
                    DOI
                    https://doi.org/10.24296/jomi/270