Today was my first time to assist in Laparoscopic Appendectomy and I'm glad that finally I was able to assist in such procedure. This kind of surgery is rarely done in our institution due to different reasons but because primarily the cost of the procedure is not that affordable compared to the open approach and secondly the incision of laparoscopic and open approach are nearly the same.
Anyways, here's the closer look of the surgery:
Laparoscopic Appendectomy
Definition: A laparoscopic appendectomy is a surgical procedure that removes the appendix from the body through a small incision. During this procedure, small incisions are made in the abdomen so a surgeon can insert a small camera and surgical instrument. With the camera in the right place, the surgeon can watch what he is doing on a video screen, while he is removing the appendix.
Position: The patient is in supine position, arms tucked at the side. The surgeon stands on the left side of the patient with the camera holder-assistant. For maintaining co-axial alignment surgeon should stand near left shoulder and monitor should be placed near right hip facing towards surgeon.
Procedure:
A small incision will be made for insertion of the laparoscope. Additional incisions may be made so that other instruments can be used during the procedure. Carbon dioxide gas will be introduced into the abdomen to inflate the abdominal cavity so that the appendix and other structures can be easily visualized. The laparoscope will be inserted and the appendix will be located. The appendix will be tied off with sutures and removed. When the procedure is completed, the laparoscope will be removed. A small tube may be placed in the incision to drain out fluids.
Instruments and Supplies:
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