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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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