阑尾手术要点（Main points of appendectomy）.docVIP

阑尾手术要点（Main points of appendectomy） Main points of appendectomy Appendectomy 1 1. Even if the diagnosis has been made before the operation, the abdominal examination is performed again after the anesthesia has been successful. More than half of the cases can be touched by abnormal symptoms, which can be further diagnosed, and the position of the appendix can be indicated. 2, if touch the lump, with the wheat point as the center, the lump is located outside the lower part, mostly for the appendix and the iliac fossa peritoneum formation abscess, about 5*7 size, the laparotomy protects. The upper and lower layers are mostly encapsulated by the great omentum, about 3*6 in size. After the removal of the appendix, the large residual cavity of the omentum should be treated with great attention. Most of the above are retroperitoneal or posterior appendices, except for the proper removal of the incision. The cecum should be turned inward (not upward) during operation, so that it is easy to handle. The abscess is usually located above the appendix and located at the end of the ileum. The mass of the abscess is usually enormous. The inside direction mostly is appendix and posterior peritoneum adhesion, easy to merge pelvic abscess. 3, incision choice, not on the next, but must pay attention to more than 2 centimeters above the point of wheat, abdominal oblique muscle is no longer a layer of aponeurosis, but two film clip a meat. Maxwell: point to determine visual error, the ruler is a joke, completely rely on the tenderness of incision is not standardized, simple method for the left hand thumb in the anterior superior iliac spine, the index finger in the umbilical and anterior superior iliac spine in 1/3, 1/3 in Chinese and foreign skin forceps, at a glance, a very small error. Appendectomy 2 1, the size of the cut, vary from person to person, remember to give yourself leeway, intraoperative incision is not a glorious thing. Cut length should not be arbitrary, should be in ad