The patient was met in the preoperative holding area, patient, consent, site and procedure to be performed confirmed. All questions answered. The patient was transported to the operating room and placed on the table in supine position. [A foley was placed]. [abx] was given prior to the start of the procedure. The patient was secured to the table and all boney areas padded. The abdomen was prepped and draped in the normal sterile fashion. A timeout was done and all were in agreement.
The abdomen was accessed via optical trocar in the left upper quadrant and insufflated. The area was inspected and there was no bleeding or visceral injury. A 12 mm infraumbilical trocar was placed and a 5 mm left lower quadrant trocar under direct visualization. The patient was placed in Trendenlenurg.
The appendix was visualized in [area] and noted to be [perforated?]. The cecum was noted to be [appearance]. The appendix was grasped and retracted upwards. The mesoappendix was transected to the base using the Harmonic scalpel. The appendix was separated at its base using an EndoGia [color] staple load. The staple line was noted to be intact and hemostatic.
The appendix was placed in a bag. The area was gently irrigated. The appendix was removed through the umbilical incision. The abdomen was desufflated and the umbilical fascia closed with 2-0 Vircyl using the Carter-Thomason device. The skin of all three incisions were closed with 4-0 Monocryl and dressed with Dermabond.
The patient was liberated from anesthesia, extubated and transported to the PACU in stable condition.
The attending surgeon was present throughout the entire procedure.
Service: GS (white)
Author: Garrett Skinner