This document provides guidance on preparing for an appendectomy surgery. It outlines the necessary equipment, instruments, drugs, and positioning needed for both open and laparoscopic appendectomy procedures. For general anesthesia, it lists the required items for patient induction and epidural anesthesia. Surgical instruments, machines, sutures, and positioning of the patient and laparoscopic trolley are also described to ensure the operating theater is properly equipped for removing the appendix.

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…