c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Appendectomy: 4

A D V E R T I S E M E N T

   
 

The common alternate incision favored by some is the Rocky-Davis transverse incision. Half of this incision lies over the rectus muscle and limits available exposure. The trade off is theoretically cosmetic, especially in young women (however, with the high lateral cut of today's bathing suits, it may no longer be an advantage).      

Notes:

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Appendectomy: 5

A D V E R T I S E M E N T

   
 

The cecum lies in the iliac fossa. The appendix may cross the brim of the true pelvis (where it can cause bladder and rectal irritation resulting in dysuria or diarrhea).  It may cross the mid-line and produce left sided signs. In over half of individuals, it is partially or totally retrocecal.      

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Appendectomy: 6

A D V E R T I S E M E N T

   
 

The direction of deepening the incision should be 45 degrees from vertical to be perpendicular to the surface of the curving parietal peritoneal contour.       

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This page was last modified on 12/5/1999.