Appendectomy Nursing Care Plan & Management Definition ●The excision of the appendix usually performed to remove an acutely inflamed organ.●Many surgeons perform an appendectomy as a prophylactic procedure when operating in the abdomen for other reasons. This procedure is then referred to as an incidental appendectomy.Position ●Supine, with arms extended on armboards Incision Site 1 / 2
●McBurney (muscle splitting) incision.Packs/ Drapes ●Laparotomy pack ●Four folded towels Instrumentation ●Major Lap tray or minor tray ●Internal stapling device Supplies/ Equipment ●Basin set ●Blades ●Needle counter ●Penrose drain ●Culture tubes ●Solutions ●Sutures ●Internal stapling instruments ●Medication Procedure 1.An incision is made in the right lower abdomen, either transversely oblique (McBurney) or vertically (for a primary appendectomy).
2.The surgeon’s assistant retracts the wound edges with a Richardson or similar retractor.
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