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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
608

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Related Experiment Video

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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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CT guided appendicectomy incision: A prospective case series.

Vijay Naraynsingh1, Shravan S Teelucksingh1, Sanjeeva Goli1

  • 1Department of Clinical surgical Sciences, The University of West Indies, St Augustine, Trinidad and Tobago.

International Journal of Surgery Case Reports
|November 13, 2017
PubMed
Summary

Computed tomography (CT) accurately identifies the appendicocaecal junction, guiding appendicectomy incisions. This method improves appendix localization and reduces incision length compared to traditional McBurney

Keywords:
Appendicectomy incisionAppendicitisMc Burney's point

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Area of Science:

  • Radiology
  • Surgical Anatomy
  • Abdominal Imaging

Background:

  • McBurney's point is a traditional landmark for appendicectomy incisions.
  • Radiological studies indicate frequent discrepancies between McBurney's point and the appendiceal base.

Purpose of the Study:

  • To evaluate the utility of CT-guided localization of the appendicocaecal junction for appendicectomy incision placement.
  • To determine if CT guidance improves surgical outcomes in appendicectomy.

Main Methods:

  • Prospective study of 32 patients undergoing open appendicectomy.
  • Coronal and axial CT scans with IV contrast were used to identify the appendicocaecal junction.
  • CT findings guided the placement of the surgical incision.

Main Results:

  • The appendicocaecal junction was accurately identified in 28 of 32 patients (87.5%).
  • Incision sites varied relative to McBurney's point: 8 cephalad, 3 at, and 17 caudal.
  • One patient required a medial incision extension due to a ruptured appendix.

Conclusions:

  • CT localization of the appendicocaecal junction is a safe and effective method for guiding appendicectomy incisions.
  • CT guidance facilitates appendix localization, potentially minimizing incision size and reducing the need for extensions.