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Appendectomy by laparotomy, step by step
- Skin incision at McBurney's point
- Opening Scarpa's fascia
- Opening aponeurosis
- Atraumatic spreading of muscle fibers
- Identify and opening of peritoneum
- Identify cecum and appendix
- Deliver cecum and appendix
- Identify and ligate appendiceal artery
- Crush appendix at base
- Ligate and remove appendix at base
- If desired place a purse string suture around
base of appendix
- Closing peritoneum
- Closing aponeurosis
- Skin closure
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