Cognitive Task Analysis with Intraoperative Images
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Safe Entry into the Abdomen

  • 00:03 Identifying ASIS/Umbilicus
  • 00:08 Skin Incision
  • 00:24 Soft Tissue Dissection
  • 02:28 Division of External Oblique Aponeurosis
  • 03:33 Muscle Dissection
  • 06:40 Peritoneal Incision
  • 07:03 Cognitive Decision
  • 07:16 Decided to take a culture

Identifying the Appendix

  • 07:33 Obtaining Proper Visualization
  • 08:50 Delivering the Cecum
  • 09:14 Identifying the Anterior Taenia Coli
  • 09:17 Identifying the Appendix

Appendectomy

  • 10:38 Identifying the Mesoappendix
  • 10:53 Creating a Window in the Mesoappendix
  • 11:18 Clamping the Mesoappendix
  • 12:02 Tying off the Appendiceal Artery
  • 15:11 Clamping the Base of the Appendix
  • 15:43 Appendectomy
  • 16:04 Suture Ligating the base

Abdominal Closure Final Abdominal Inspection Closure of External Oblique Aponeurosis

  • 19:15 Closure of Subcutaneous Tissue
  • 20:45 Closure of Skin

Cognitive Task Analysis[edit | edit source]

1
Preoperative Preparation
  1. Assess Patient
  2. WHO Checklist
  3. Anaesthesia
  4. Antibiotics
  5. Intraoperative Patient Preparation
  6. WHO Checklist
2
Safe Entry into the Abdomen
  1. Skin Incision
  2. Soft Tissue Dissection
  3. Muscle Dissection
  4. Peritoneum
  5. COGNITIVE TASK
3
Identifying the Appendix
  1. Obtaining Proper Visualization
  2. Delivering Cecum
  3. Identifying the Appendix
  4. COGNITIVE TASK
4
Appendectomy
  1. Vascular Ligation
  2. Appendectomy
5
Abdominal Closure
  1. Final Abdominal Inspection
  2. Closure of external oblique aponeurosis
  3. Closure of the skin
  4. WHO Check List
  5. Post-operative Note

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