[EGS] Acute appendicitis

 For students


















Normal appendix on abdomen CT

- a tubular structure with an end stretching from the cecum

- free air inside without dilatation (<8mm)


Acute appendicitis on abdomen CT


- Appendix and the base identification
- Meso-appendix dissection
- Appendiceal artery ligation
- Base stump ligation
- Resected appendix retrieval
 






For trainees


- difficult dissection of meso-appendix, base resection first
- fragile base, base suture closure
- fragile cecum, cecectomy
- appendix unidentifiable, drainage only

- primary repair of iatrogenic colon perforation
- bleeder ligation


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