Appendectomy
History
The first recorded successful appendectomy was in 1735 when French surgeon Claudius Aymand described the presence of a perforated appendix within the hernial sac of an 11-year-old boy who had undergone successful herniotomy. The operation was performed on December 6, 1735, at St. George’s Hospital in London. The organ had apparently been perforated by a pin that the boy had swallowed. The patient, Hanvil Andersen, made a spectacular recovery and was discharged a month later.[1]
There have been some cases of auto-appendectomies. One was attempted by Evan O'Neill Kane in 1921, but the operation was completed by his assistants. Another was Leonid Rogozov, who had to perform the operation on himself as he was the only doctor on a remote Antarctic base.[2]
Preoperative Preparation
The tests vary according to the age and health, but the standard tests include
Blood tests
Routine
Urine Test
Chest X-ray
ECG
An intravenous line for fluids and a pre-operative antibiotic maybe administered.
If there are any known allergies it should be mentioned to the doctor. Some people are allergic to Penicillin antibiotic or its recent derivative and others maybe allergic to Sulpha drugs. If there are no known allergies, a small test dose of the antibiotic is given to check for any reaction before giving the full dose.
An informed consent is taken from the patient so that they understand the procedure and certain medications that they would be receiving. Patients are required to refrain from eating or drinking after midnight on the day before surgery for a routine planned procedure. If the procedure is undertaken as an emergency, it is advisable to fast for 6 hours before anesthesia can be given for surgery. This means no liquids, solids or oral medications.
Read more: Appendectomy / Appendecetomy- Pre-Operative Procedures http://www.medindia.net/surgicalprocedures/Appendectomy-Pre-Operative.htm#ixzz2XhqKkmqh
INTRAOPERATIVE
• Positioning: Place the
The first recorded successful appendectomy was in 1735 when French surgeon Claudius Aymand described the presence of a perforated appendix within the hernial sac of an 11-year-old boy who had undergone successful herniotomy. The operation was performed on December 6, 1735, at St. George’s Hospital in London. The organ had apparently been perforated by a pin that the boy had swallowed. The patient, Hanvil Andersen, made a spectacular recovery and was discharged a month later.[1]
There have been some cases of auto-appendectomies. One was attempted by Evan O'Neill Kane in 1921, but the operation was completed by his assistants. Another was Leonid Rogozov, who had to perform the operation on himself as he was the only doctor on a remote Antarctic base.[2]
Preoperative Preparation
The tests vary according to the age and health, but the standard tests include
Blood tests
Routine
Urine Test
Chest X-ray
ECG
An intravenous line for fluids and a pre-operative antibiotic maybe administered.
If there are any known allergies it should be mentioned to the doctor. Some people are allergic to Penicillin antibiotic or its recent derivative and others maybe allergic to Sulpha drugs. If there are no known allergies, a small test dose of the antibiotic is given to check for any reaction before giving the full dose.
An informed consent is taken from the patient so that they understand the procedure and certain medications that they would be receiving. Patients are required to refrain from eating or drinking after midnight on the day before surgery for a routine planned procedure. If the procedure is undertaken as an emergency, it is advisable to fast for 6 hours before anesthesia can be given for surgery. This means no liquids, solids or oral medications.
Read more: Appendectomy / Appendecetomy- Pre-Operative Procedures http://www.medindia.net/surgicalprocedures/Appendectomy-Pre-Operative.htm#ixzz2XhqKkmqh
INTRAOPERATIVE
• Positioning: Place the