《外科學》闌尾切除術(shù)雙語

1、2022/9/131Appendectomy2022/9/1321.Introduction Fitz 1880 Appendicitis McBuney 1894 Appendectomy 2.Anatomy of Appendix2022/9/1332022/9/1342022/9/135(mesoappendix)2022/9/1362022/9/137IndicationAppendicitis2022/9/1382022/9/139Preoperative preparationGeneral preparation2022/9/1310Anesthesia1.Local(Regio

2、nal) Anesthesia2.Epidural Anesthesia3.General Anesthesia2022/9/1311With the patient in the supine position, general anesthesia is induced and the abdomen is prepared and draped in a sterile fashion so as to expose the right lower quadrant. 2022/9/13122022/9/13132022/9/1314The classic McBurney incisi

3、on is made at a point two-thirds the distance (McBurneys point) between umbilicus and anterior superior spine of the ilium. The incision is perpendicular to the connecting line, and is made one third above and two thirds below the line. 2022/9/1315Whats the proper length of incision?As small as poss

4、ible,but as large as nessisary!2022/9/13162022/9/13172022/9/13182022/9/13192022/9/13202022/9/13212022/9/13222022/9/13232022/9/13242022/9/13252022/9/13262022/9/13272022/9/13282022/9/13292022/9/13302022/9/13312022/9/13322022/9/13332022/9/1334interrupted sutures 2022/9/13352022/9/1336fecolith 2022/9/13372022/9/13382022/9/1339Laparoscopic appendectomy2022/9/13402022/9/13412022/9/13422022/9/13432022/9/13442022/9/13452022/