c l i n i c a l f o l i o s : t h u m b n a i l s




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Appendicostomy Images

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Appendicostomy: cecum mobilized away from the abdominal wall on the right side.
VID 90, frame 1

appG4001

 

Appendix tip severed, stay sutures placed to triangulate open the appendiceal lumen.
VID 90, frame 2

appG4002

 

An 8 French feeding tube is passed to ensure appendiceal patency.
VID 90, frame 2

appG4003

 

Appendix is folded into position for creation of cecal wrap.
VID 90, frame 3

appG4004

 

Cecal wrap is created using interrupted silk sutures (1).
VID 90, frame 4

appG4005

 

Cecal wrap is created using interrupted silk sutures (2).
VID 90, frame 4

appG4006

 

Operative photo showing creation of cecal wrap.
VID 90, frame 5

appP4007

 

Cecal wrap completed and appendicostomy cannulated with an 8 French feeding tube to test for obstruction.
VID 90, frame 6

appP4008

 

Leak test performed with syringe.
VID 90, frame 7

appP4009

 

Incision markings for creation of umbilical stoma.
VID 90, frame 8

appG4024

 

Incision flap turned back with sutures placed.
VID 90, frame 9

appG4025

 

Fascial opening created and neoappendix brought through opening.
VID 90, frame 10

appG4026

 

Markings for transection of neoappendix.
VID 90, frame 10

appG4027

 

Transected neoappendix.
VID 90, frame 11

appG4028

 

Neoappendix anastomosed circumferentially to the V-shaped umbilical skin opening (1).
VID 90, frame 11

appG4029

 

Neoappendix anastomosed circumferentially to the V-shaped umbilical skin opening (2).
VID 90, frame 11

appG4030

 

Neoappendicostomy cannulated one final time to ensure patency.
VID 90, frame 12

appG4031

 

Redundant neoappendix pulled back into abdominal cavity to reduce the anastomosis back to the depth of the umbilicus.
VID 90, frame 13

appG4032

 

Post-op appearance.
VID 90, frame 14

appP4010

 

4 weeks post-op.
VID 90, frame 15

appP4011

 

4 weeks post-op, lumen cannulated.
VID 90, frame 16

appP4012

 

This page was last modified on 5/7/1999.
 

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