Appendectomy, open - general and visceral surgery

You have not purchased a license - paywall is active: to the product selection
  • Skin incision

    3–4cm long muscle splitting incision in right lower quadrant (at the lateral third of a virtual line from the anterior superior spine of the ilium to the umbilicus)
    Follow this by transecting the subcutis and Scarpa fascia with electrocautery.

    Note: Routine approach should be the muscle splitting incision, and not the pararectal incision, since the stacked muscles of the lateral abdominal wall virtually prevent incisional hernia. The often cited criticism that a muscle splitting incision cannot be extended if the surgical approach requires this is not correct: The muscle splitting incision may easily be extended superiad as “hockey-stick” incision and medially as modified Pfannenstiel incision.

  • Splitting the external aponeurosis

    Split the external aponeurosis from laterocephalad to mediocaudad with scissors.

  • Splitting the abominal muscles

    Bluntly split the internal oblique and transversalis abdominis with scissors and retract with Roux retractors.

  • Peritoneal incision

  • Swabbing

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Coaxing out the cecum

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Dissectring the appendix

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Placing the purse string suture

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Ligating and resecting the appendiceal base

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Inverting the stump

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • Peritoneal and fascial suture

    Paid content (video)
    Paid content (image)
    Paid content (text)
  • End of procedure

    Paid content (video)
    Paid content (image)
    Paid content (text)
date of update: 05.02.2023
date of publication: 14.09.2009

Single Access

Access to this lecture
for 3 days

€4.99 inclusive VAT

SEPA Maestro Mastercard VISA PayPal

webop-Account Single

full access to all lectures
price per month

for the modul: vascular surgery

from 8,17 €

hospitals & libraries

for the modul: vascular surgery

from 390,00 euros