T7-2A OPERATIVE REPORT, APPENDECTOMY

question 3

Essay

T7-2A OPERATIVE REPORT, APPENDECTOMY
FINDINGS: The appendix was acutely inflamed but not perforated. There was a little bit of purulent fluid in the pelvis.
PROCEDURE IN DETAIL: After good general endotracheal anesthesia, 10 cc of Marcaine was administered about McBurney's point. A Rockey-Davis incision was made, and dissection was carried down to the sternal oblique fascia. This was incised. Then, using a muscle-sparing technique, the muscle was divided. The peritoneum was identified and incised. The abdomen was entered. The appendix was mobilized and brought up into the wound. The mesoappendix was divided, and the appendix was transected at the base after placing a tie at the base of the appendix. After this, the appendiceal stump was buried using a piece of epiploicae fat that was adjacent and covering it with a serosal stitch. Next, the pull-tip sucker was placed in the pelvis, and a tiny bit of fluid came back. We did not irrigate the abdomen. The peritoneum was then closed. A single suture was placed in the muscle itself to approximate dead space; then the fascia was closed with 3-0, and the skin was closed with 4-0 Vicryl. Steri-Strips and sterile dressings were applied. After the peritoneum was closed, the layers were irrigated in succession as we closed the wound. The patient tolerated the procedure well. The remaining 20 cc of Marcaine were infiltrated into the muscle and the skin. She was returned to the recovery room in good condition.
T7-2A:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): ______________________________________________

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Definitions:

Regulatory Molecules

Chemicals within biological organisms that control or regulate the activity of genes and proteins, playing crucial roles in processes such as metabolism and cell division.

Active Site

The specific region of an enzyme where substrate molecules bind and undergo a chemical reaction.

Feedback Inhibition

is a regulatory mechanism where the output of a process inhibits the process itself, often used in metabolic pathways to maintain balance.

Metabolic Pathway

Series of enzyme-mediated reactions by which cells build, remodel, or break down an organic molecule.