Appendectomy Procedure

Medical skill data
Subskill of	Appendectomy Simulation

Welcome to the procedure part of the appendicitis module. Here the learner will go through a pre-test and interactive case scenario to learn about laparoscopic management of appendicitis.

Pre-test[edit | edit source]

Learners will first take a pre-test to assess their baseline knowledge of the topic. This test is available on our interactive platform and gives real-time grading for learners to immediately assess their knowledge coming into the module. It is also copied in appropedia format below. On our platform, answer explanations are not displayed for the pre-test (but are displayed in the post-test).

The answers, with explanations, are available for review in the post-test which is accessible here for download as a pdf.

ALL-SAFE Appendicitis Pre & Post Test PDF

Case scenario[edit | edit source]

The psychomotor learning is embedded in the sequence of a full clinical case, allowing the learner to digest pre-, intra-, and operative concepts of ectopic pregnancy.

Learners will go through an interactive case scenario with embedded course material. The case scenario is presented in a question / answer format. As learners progress through the case, they will digest information that is presented to them as they answer case questions. It is highly recommended that the learner be familiar with this content before proceeding to the skill pages.

How the Appendicitis case scenario looks on our site

Page data
Part of	ALL-SAFE
Keywords	appendicitis, laparoscopy
Authors	ALL-SAFE Team
License	CC-BY-SA-4.0
Organizations	Global Surgical Training Challenge
Language	English (en)
Related	0 subpages, 3 pages link here
Aliases	ALL-SAFE/Appendectomy Procedure
Impact	458 page views
Created	October 23, 2022 by ALL-SAFE Team
Modified	January 29, 2024 by Felipe Schenone
Cite as	ALL-SAFE Team (2022–2024). "Appendectomy Procedure". Appropedia. Retrieved April 22, 2024.
API queries	basic, semantic, html, files, more

	Abdominal adhesions
	Colitis
	Obstruction (fecalith)
	Traumatic injury

	Patient has a leukocyte count greater than 20,000
	Patient has a morbid obesity with BMI>40
	Patient presents with a fever >40 C
	Patient has multiple adhesions from prior lower abdominal surgeries

	Within 1 hour
	Within 12 hours
	Within 24 hours
	Within 1 week

	No requirement for perioperative antibiotics
	Use of spinal anesthesia
	Lower equipment cost
	Decreased risk of wound infection

	Overall complication rates are significantly lower in patients treated with antibiotics
	Antibiotic therapy for appendicitis decreases length of hospital stay
	Among patients who receive antibiotics for appendicitis, 100% will eventually undergo appendectomy
	Antibiotics are a reasonable management option for both complicated and uncomplicated appendicitis

	Supine position, Trendelenberg, left arm tucked with surgeon and camera on right side
	Supine position, Trendelenberg, left arm tucked with surgeon and camera on left side
	Prone position, reverse Trendelenberg, both arms tucked with surgeon and camera on right side
	Supine position, reverse Trendelenberg, right arm tucked with surgeon and camera on right side

	Camera port at RUQ
	Camera port at umbilicus
	Instrument port at LLQ
	Instrument port at suprapubic region

	Trocar placement, locate appendix, bluntly dissect cecum base, divide the mesoappendix, divide appendix base, remove appendix
	Locate appendix, trocar placement, bluntly dissect cecum base, divide appendix base, remove appendix
	Trocar placement, locate appendix, divide the mesoappendix, divide appendix base, bluntly dissect cecum base, remove appendix
	Trocar placement, locate appendix, divide appendix base, divide the mesoappendix, bluntly dissect cecum base, remove appendix

	Convert to open appendectomy
	Apply direct pressure with the instrument to control the bleeding
	Control the bleeding by ligating the ileocolic artery
	Turn down pneumoperitoneum and observe

	5 mmHg
	10 mmHg
	15 mmHg
	20 mmHg