Appendectomy, open

  1. Skin incision

    Video
    Skin incision

    A transverse incision approximately 3-4 cm long is made in the right lower abdomen (on an imaginary line between the anterior superior iliac spine and the navel in the caudal third). Subsequently, the subcutis and Scarpa's fascia are incised with the electric knife.

    Note: The transverse incision should be the standard approach, as the "curtain phenomenon" of the abdominal wall practically prevents incisional hernias, unlike the pararectal incision. The often-cited criticism that a transverse incision cannot be extended if the surgical approach changes is incorrect: The transverse incision can be easily extended cranially as a "hockey stick incision" or medially as a modified "Pfannenstiel incision".

  2. Splitting of the external aponeurosis

    Video
    Splitting of the external aponeurosis

    The external aponeurosis is incised with scissors from laterocranial to mediocaudal.

  3. Splitting of the muscle

    Video
    Splitting of the muscle

    The internal oblique and transversus muscles are bluntly split with scissors and retracted with Roux hooks.

  4. Peritoneal incision

    Video
    Peritoneal incision

    The peritoneum is exposed and incised with scissors.

  5. Swab collection

    Video
    Swab collection

    An intraperitoneal swab is taken.

Luxation of the cecal pole

The cecal pole, along with the appendix, is grasped with a moist gauze and gently luxated in front

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