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A D V E R T I S E M E N T | |||||
Appendicostomy Images |
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Description / Link to Frame |
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Appendicostomy: cecum mobilized away from the abdominal wall on the right side. |
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Appendix tip severed, stay sutures placed to triangulate open the appendiceal lumen. |
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An 8 French feeding tube is passed to ensure appendiceal patency. |
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Appendix is folded into position for creation of cecal wrap. |
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Cecal wrap is created using interrupted silk sutures (1). |
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Cecal wrap is created using interrupted silk sutures (2). |
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Operative photo showing creation of cecal wrap. |
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Cecal wrap completed and appendicostomy cannulated with an 8 French feeding tube to test for obstruction. |
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Leak test performed with syringe. |
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Incision markings for creation of umbilical stoma. |
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Incision flap turned back with sutures placed. |
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Fascial opening created and neoappendix brought through opening. |
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Markings for transection of neoappendix. |
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Transected neoappendix. |
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Neoappendix anastomosed circumferentially to the V-shaped umbilical skin opening (1). |
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Neoappendix anastomosed circumferentially to the V-shaped umbilical skin opening (2). |
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Neoappendicostomy cannulated one final time to ensure patency. |
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Redundant neoappendix pulled back into abdominal cavity to reduce the anastomosis back to the depth of the umbilicus. |
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Post-op appearance. |
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4 weeks post-op. |
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4 weeks post-op, lumen cannulated. |
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This page was last modified on 5/7/1999. A D V E R T I S E M E N T
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