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Inflamed appendix removal by open surgery Laparoscopic appendectomy. Laparoscopic view of a phlegmonous cecal appendix with fibrinous plaques, located in the right iliac fossa. The surgical procedure for the removal of the appendix is called an appendectomy. Appendectomy can be performed through open or laparoscopic surgery.
On entering the peritoneum, the appendix is identified, mobilized, and then ligated and divided at its base. [9] Some surgeons choose to bury the stump of the appendix by inverting it so it points into the caecum. [9] Each layer of the abdominal wall is then closed in turn. [9] The skin may be closed with staples or stitches. [9] The wound is ...
The combination of inflammation, reduced blood flow to the appendix, and distention of the appendix causes tissue injury, and tissue death. [6] If this process is left untreated, the appendix may burst, releasing bacteria into the abdominal cavity, leading to increased complications.
The longest appendix ever removed was 26 cm (10 in) long. [3] The appendix is usually located in the lower right quadrant of the abdomen, near the right hip bone. The base of the appendix is located 2 cm (0.79 in) beneath the ileocecal valve that separates the large intestine from the small
In cases of acute appendicitis, antegrade appendicectomy is the preferred option, but in cases where the base of the appendix is accessible but is difficult to identify or deliver its more distal portion, a retrograde appendicectomy becomes necessary. [3]
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It is also called appendicolith when it occurs in the appendix and is sometimes concurrent with appendicitis. [1] They can also obstruct diverticula. It can form secondary to fecal impaction. A fecaloma is a more severe form of fecal impaction, and a hardened fecaloma may be considered a giant fecalith. The term is from the Greek líthos=stone. [2]
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