tolerated this wll and was taken to recovely Slau LI ne found in the right lower quadrant, and this was aspirated cecum was grasped, and the appendix

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tolerated this wll and was taken to recovely Slau LI ne found in the right lower quadrant, and this was aspirated cecum was grasped, and the appendix was delivered up and into thte wound The mespappendix was taken dawn between the tight-ange clamps. The base of the appendix was transected sharply and to natholoay for examination. The tip was cauterized and invertad into the cecum with a 3-0 silk pursestring suture. Two to three fret of the terminal ileum were explored, with no evidence nf Merials diverticula. The remainder of the abdominal cavity was within narrel limits. Operative Report, Appendectomy PA CASE 7-20A PH LOCATION: Inpatient, Haspital The PATIENT Sally Jacobson app ATTENDING PHYSICIAN Leslie Alanda, MD diff PREOPERATVE DIAGNOSIS: Acute appendicitis POSTOPERATIVE DIAGNOSIS Acute appendicitis ANESTHESIA: General anesthesia pas had show INDICATION: The patient is a 17-year-old female with insulin- dependent diabetes mellitus who presents with crampy,. colicky right lower quadramt abdominal pain and an ultrasound showing a question of appendicitis. Her white count is within normal limits, She continues to have pain in the right lower quadrant. She presents today for elective open appendectomy The abdomen was irrigated with saline solution, and then the posterior sheath and peritoneum were closed with running 3-0 Vicryl. The anteria was rema great proble abdor contin evalua of hav finding Couma at this sheath was closed with interrupted 3-0 Vicryl. The skin was dosed wit subcuticular 4-0 undyed Vicryl. Steri-Strips and sterile bandage war applied We discussed the risks of bleeding, infection, and possible abscess formation with the patient’s mather, and they wish to proceed PROCEDURE The patient was brought to the operating room and prepped and draped stetilely. A tight lower quadrant skin incision was made with a no. 10 blade and carried down through subcutaneous tissues using electrocautery The anterior sheath of the rectus was scored. The rectus retracted medially, and the posterior sheath and peritaneum were grasped with curved clamps and sharply incised thus allowing entry into the peritoneal cavity. Some serous fluid SPONGE AND NEEDLE COUNT: All sponge and needle counts wele correct The patient tolerated the procedure well and was taken to rechve stable condition Pathology Report Later Indicated: See Report 7-208. SERVICE CODEIS) ICD-10-CM DX CODEIS to eat a The patu done abo whether do not kn Stable at PAST MER OPERATIO CASE 7-20B Pathology

 
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