腹腔镜坏疽性阑尾炎穿孔伴腹膜炎 21mb

LAPAROSCOPIC APPENDICECTOMY IN GANGRENOUS PERFORATED APPENDICITIS WITH PERITONITIS- DR ARUN BHAGWAT

22 YEARS LADY HAD SEVERE PAIN IN ABDOMEN 4 DAYS DURATION . SHE WAS FEBRILE WITH RIGIDITY & GUARDING IN LOWER ABDOMEN . USG ABDOMEN REPORTED DILATED COILS WITH SUB-ACUTE INTESTINAL OBSTRUCTION . THERE WAS LEUCOCYTOSIS, ABDOMEN WAS EXPLORED WITH LAPAROSCOPE. THERE WAS PUS IN THE PELVIS & ALONG THE RT PARACOLIC GUTTER. OEDEMATOUS OMENTUM WAS COVERING THE INTESTINE WITH MULTIPLE PUS FLAKES.THE UTERUS WAS PLASTERED & COVERED WITH PUS & FLAKES . THERE WAS GANGRENOUS APPENDIX WITH PERFORATION AT THE TIP. APPENDECTOMY & THROUGH PERITONEAL TOILET DONE. ROMOVAC DRAIN KEPT.