Laparoscopic appendectomy

Dr Y
PORTS Local in umbilical 15 blade through skin S retractors to fascia Kochers on fascia - regrab to get good bite 15 blade through peritoneum Probing with s-retractors to ensure access to peritoneal cavity Vicryl figure of 8 stich 12mm trochard Attach sutures and gas Local for small ports raising wheal above peritoneum under direct vision

CLOSURE 3-0 vicryl subcuticular without knots Dermabond, no dressings

Dr A
No local in the beginning Incision S-retractors "like a little hamster" No stich through fascia in the beginning Trochar with an inflatable cuff

CLOSURE Stich through fascia Local in the end

Dr Driscoll
Local anesthesia at umbillicus. Incision. S-rectractors for blunt dissection & bovie to fascia. Kochers on fascia. Vicry stiches longitundinally on either side of Kocher. Resease Kocher and pull on vicryl stiches. Longitudinal incision in fascia. Hassant rectractor. 12mm in LLQ. 5mm in suprapubic position. [...]

Closure of fascia with running vicryl. Tie the two stiches together. Close skin with monocryl.

Dr S
CLOSURE Uses vicryl, no knots, enter skin from outside and the pull strings and glue with dermabond.

Dr K
Umbilical incision. Veress needle. Injection of saline without resistance. Insufflation. Assistant stays on R side of table and holds camera from there. Switches over after wimdow is made to staple appendix and mesoappendix.

Closure of umbilical port site with figure of 8 stich at the end of case.

CLOSURE Monocryl. Dermabond.