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== Laparoscopic appendicectomy == * Technique ** Infra-umbilical Hasson ** Decide on next two ports (usually supra-pubic and LIF) ** Use a universal and a bowel grasper to identify appendix, find the TI, orient it ** Decide how to take it out - antegrade vs retrograde * Difficulty ** Extra port ** Mobilise caecum inferior to superior (watch out for ureter, stay in correct plane, anterior to Gerota's) ** Retrograde appendicectomy *** Divide appendix at base *** Endoloops x2 to base *** Dissect along appendix until you reach the tip and remove ** Convert to open
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