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:

Virginian

Pertaining to Virginia, a state in the southeastern United States, or its inhabitants.

Patrick Henry

A Founding Father of the United States known for his declaration "Give me liberty, or give me death!" in opposition to British rule.

Common Sense

Practical judgment concerning everyday matters, or a basic ability to perceive, understand, and judge in a manner that is shared by (common to) nearly all people.

Thomas Paine

An influential political writer and revolutionary of the 18th century, known for works like "Common Sense" and "The Rights of Man."