on al siellle esan F tolerated this well and was taken to recovery in stabie infect the c unde "infe case was found in the right lower quadrant and this was asoiratet

on al siellle esan F tolerated this well and was taken to recovery in stabie infect the c unde “infe case was found in the right lower quadrant and this was asoiratet The cecum was qrasped, and the appendix was delivered uo and ms te wownd The mesoappendix was taken down between the fightaje clamps. The base of the appendix was tranisected sharphy and ser to pathology for examination. The tip was cauterized and imad into the cecum with a 3-0 silk pursestring suture. Twn to three er of the terminal ileum were explored, with no evidence ot Meds diverticula. The remainder of the abdaminal cavity was within smd CASE 7-20A Operative Report, Appendectomy LOCAT PATIEN LOCATION Inpatient, Hospital PATIENT Saly Jacoteon PHYS ATTENDING PHYSICIAN Leslie Alanda MD PREOPERATIVE DIAGNOSIS Acute appendicits POSTOPERATIVE DIAGNOSIS Acute acpendicitis ANESTHESIA General anesthesia The pa apprax difficul past. T had a showe INDICATION The patient is a 17-year-old female with insulin- dependent diabetes melltus who presents with crampy, colicky right ower quadrant atdominal pan and an utrasound showing a question of appendictis Her white count is within normal imits. She continues to have pain n the right lower quatrant She presents today for electrve apen acpendectomy limits The abdomen was irigated with saline solution, and then the poteo sheath and peritoneum were clased with running 3-0 Vicryl. The ant sheath was closed with interrupted 3-0 Vicryl. The skin was clnsetwi subcuticular 4-0 undyed Vicryl. Steri-Strips and sterile bandage ae applied SPONGE AND NEEDLE COUNT: All sponge and needle courts wee was in remair greate proble abdom contin We discussed the risks of bleeding infection, and possible abscess formation with the patient’s mothet, and they wish to proceed. PROCEDURE The patient was brought to the operating room and prepped and draped sterilely Aright lower quadrant skin incision was nade with a no. 10 blade and caried down through subcutaneous tissues using electrocautery The anterior sheath of the rectus was scored The rectus retracted medially, and the posterior sheath and peritoneum were grasped with curved clamps and sharply incised, thus allowing entry into the peritoneal cavity. Some serous fluid evalua Corect of hav finding Couma at this The patient tolerated the procedure well and was taken to recovery stable condition. Pathology Report Later Indicated: See Report 7-208. to eat The pa done a wheth do not stable SERVICE CODEIS: ICD-10-CM DX CODEIS PAST CASE 7-20B OPERA

 
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