Transvaginal Appendectomy Periprocedural Care

Updated: Jun 22, 2016
  • Author: Kurt E Roberts, MD; Chief Editor: Vikram Kate, MBBS, MS, PhD, FACS, FACG, FRCS, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS  more...
  • Print
Periprocedural Care

Equipment

Equipment used for transvaginal appendectomy is as follows:

  • Electrocautery
  • Single-incision laparoscopic surgery (SILS) port (Covidien, North Haven, CT)
  • Endoscope (30°, 5 mm)
  • Flexible endoscopic grasper
  • Maryland dissector
  • Endoscopic stapler
Next:

Patient Preparation

Anesthesia

General anesthesia is necessary because of the need to insufflate the abdominal cavity to ensure adequate visualization.

Positioning

The patient is placed in the low lithotomy position using stirrups. After the patient is prepared and draped and just before vaginal access is attempted, the patient is placed in a steep Trendelenburg position (see the image below).

Transvaginal appendectomy. Position of patient. Transvaginal appendectomy. Position of patient.
Previous
Next:

Monitoring and Follow-up

Patients are recommended to refrain from sexual intercourse for a period of 2 weeks following surgery, as recommended by the gynecologists in the authors’ institution.

Previous