Anatomy and Physiology
What quadrant of the abdomen does the appendix live in?
Right Lower Quadrant
What drape is used for this procedure?
Laparotomy Drape
What should the CST do before the patient arrives in the room?
Check all equipment and ensure it is working properly
Which port is the appendix removed from?
Right upper quadrant port
What incision is made for the Hasson technique?
Periumbilical incision
Where does the appendix live?
At the base of the cecum
What position is the patient placed in?
Supine with slight trendelenberg
Where will the monitor be placed?
At the foot of the bed
Pneumoperitoneum can be established through two different methods. What are the name of those two methods?
Veress Needle Method and Hasson Technique
What suture is used for closure of the fascia?
2-0 Absorbable suture
Is the appendix attached to the large intestine or the small intestine?
Small Intestine
What are the parameters for skin prep?
Mid chest to symphysis pubis
What is something the CST should be prepared for in every laparoscopic procedure?
Converting to an open procedure
What is used to close the skin?
3-0 or 4-0 nonabsorbable suture
What instrument is used to grasp the cecum?
Laparoscopic Babcock
What is most common pre-op diagnostic test done for appendicitis?
Rebound pain from palpation in the right lower quadrant
What is a possible complication pertaining to the intestines?
Intestinal obstruction due to adhesions forming
What will the CST be responsible for during the procedure?
Manipulating the camera
What can be used to elevate the skin for the Veress Needle insertion?
Kocher, Backhaus
What are the 3 options for transecting the appendix?
1. Endoscopic linear stapler 2. Ligating loop instrument 3. Suturing instruments
What are the symptoms of appendicitis?
Pain, Nausea, Vomiting, elevated white blood count and fever
What wound classification does this procedure fall under?
Class II: Clean Contaminated
What must the CST confirm before opening the case?
Which technique the surgeon will use
What must be done before the insertion of the Veress needle?
Elevate the skin and subcutaneous fat
Which trocar sights require fascial closure?
10/12mm trocar sights