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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Neoappendicostomy Images

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Neoappendicostomy: cecum mobilized.
VID 97, frame 1

appG4013

 

Markings for cecal flap.
VID 97, frame 2

appG4014

 

Cecal flap created.
VID 97, frame 2

appG4015

 

Location of flap incision marked.
VID 97, frame 3

appP4019

 

Cecal flap with stay sutures in place.
VID 97, frame 4

appP4020

 

Cecal flap tubularized over an 8 French feeding tube.
VID 97, frame 5

appG4016

 

Tubularizing the flap.
VID 97, frame 6

appP4021

 

Neoappendicostomy folded back over the cecum to minimize angulation at the junction of tube and cecum.
VID 97, frame 7

appG4017

 

Cecal wrap created.
VID 97, frame 7

appG4018

 

Incision markings for creation of umbilical stoma.
VID 97, frame 8

appG4024

 

Incision flap turned back with sutures placed.
VID 97, frame 9

appG4025

 

Fascial opening created and neoappendix brought through opening.
VID 97, frame 10

appG4026

 

Markings for transection of neoappendix.
VID 97, frame 10

appG4027

 

Transected neoappendix.
VID 97, frame 11

appG4028

 

Neoappendix anastomosed circumferentially to the V-shaped umbilical skin opening (1).
VID 97, frame 11

appG4029

 

Neoappendix anastomosed circumferentially to the V-shaped umbilical skin opening (2).
VID 97, frame 11

appG4030

 

Neoappendicostomy cannulated one final time to ensure patency.
VID 97, frame 12

appG4031

 

Redundant neoappendix pulled back into abdominal cavity to reduce the anastomosis back to the depth of the umbilicus.
VID 97, frame 13

appG4032

 

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

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