PREPARATION OF OT FOR APPENDICETOMY SURGERY

1. HOW TO PREPARE OT
FOR APPENDICETOMY
- RIYA SANJAY BAGHELE
- NAGPUR

2. INTRODUCTION
• APPENDICETOMY ALSO TERMED AS APPENDECTOMY IS THE
SURGICAL REMOVAL OF VERMIFORM APPENDIX.
• APPENDECTOMY CAN BE APPROACH BY TWO SURGICAL
TECHNIQUES,
OPEN APPENDECTOMY OR LAPROSCOPIC APPENDECTOMY.
• ANESTHESIA CAN BE PERFORMED EITHER GENERAL OR
EPIDURAL ANESTHESIA.

3. INDUCTION TROLLEY FOR GENERAL
ANESTHESIA
KIDNEY TRAY WITH OXYGEN MASK
LARNYGOSCOPE HANDLE AND BLADE
[BLADES ARE OF DIFFERENT SIZES AS PER
PATIENT IT IS USED]
LOX SPRAY 10%
EYE DROP
MAGILLS FORCEPS
GAUGE PIECE
ENDOTRACHEAL TUBE
 RYLES TUBE
LIGNOCAINE 2%
SYRINGES 10cc or 20cc
THEMICAINE JELLY 10%
AIRWAY MALE/FEMALE AIRWAYS
NASAL DROP
MAC COIL AND BHUJI [KEPT AS STANDBY FOR
DIFFICULT INTUBATION]
LARYNGEAL MASK AIRWAY
STICKINGS
[MICROPORE,DYNAPLAST,DURAPORE]

4. EPIDURAL ANESTHESIA
 EPIDURAL SET 16G OR 18G
 LUMBAR PUNCTURE NEEDLE 25G
 BETADINE 10% [ANTISEPTIC AND DISINFECTANT AGENT]
 BACTORUB [ANTISEPTIC SOLUTION]
 SYRINGES
 NEEDLES
 LOXICARD 2%
 ANAWIN HEAVY
 TEGADERM
 MICROPORE
 NORMAL SALINE
 OT GAUGE

5. SOME MORE ANESTHESIA PERSPECTIVE
PREPARATION
• VAPORIZER ARE USED EITHER ISOFLURANE,SEVOFLURANE OR DESFLURANE.
• VENTI KIT SHOULD BE ATTACH TO ANESTHESIA WITH END TIDAL [ETCO2]
CONNECTION.
• IV LINE [IV SET , CANNULA , SWAB, 10 cm 200 cm EXTENSION,TEGADERM]
• IV FLUIDS
• SUCTION SET WITH CONNECTOR,FIT FIX, YANKAUER.
• OXYGEN MASK SHOULD BE KEPT. [EXTUBATION]

6. GENERAL ANESTHESIA DRUGS
PROPOFOL
SUPACEF
ATROPINE
ATTRACRIUM
MYOPYROLATE
GLYCOPYROLATE
MIDAZOLAM
PARACETAMOL
FENTANYL

7. MACHINES USED FOR OPEN
SURGERY
• ELECTROCAUTERY MACHINE
[WITH FOOT PADDLE IF REQUIRED]
• WARMER MACHINE

8. SURGICAL INSTRUMENTS FOR OPEN
APPENDECTOMY
• Metzenbaum Scissors Curved
• Metzenbaum Scissors Straight
• Mayo Scissors Curved
• Mayo Scissors Straight
• Scalpel Handle
• Allis Tissue Forceps
• Towel clips
• Babcock Tissue Forceps
• Needle Holder
• Sponge Holding Forceps
• Artery forceps
• Gallipots
• Kidney Dish
• Suction set
• Langenbeck retractor
• Cautery lead
• Babcock forceps
• Eye intestinal forcep

9. LAPROSCOPIC SURGERY
1.LAPROSCOPIC TROLLEY
2.CARBON DIOXIDE CYLINDER
3.CAUTERY MACHINE
4.FOOT PADDLE
*LAPROSCOPIC TROLLEY*
• MAIN SCREEN
• TABLET [TO REGISTER PATIENT DETAILS]
• LIGHT SOURCE,CAMERA CONSOLE, RECORDING SYSTEM
• CO2 INSUFFLATOR
• CAMERAPROTECTIVE BOX
• WHEELS

10. LAPROSCOPIC INSTRUMENT

11. POSITIONING
• SUPINE POSITION WITH TRENDELENBURG LEFT ARM TUCKED INSIDE.
• LAPROSCOPIC TROLLEY SHOULD BE PLACED TO THE RIGHT SIDE OF THE PATIENT.
• LAPROSCOPIC TROLLEY SHOULD BE PLACED SUCH THAT IT SHOULD BE LOOK WELL TO THE
SURGEON.

12. SUTURES
SOME OF THE SUTURES MAY BE USED AS FOLLOWS
• 2.0 VICRYL
• 1 LOOP ETHILON
• 2.0 PROLENE
• 3.0 VICRYL

13. THANK YOU…