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Doss India - Appendix Surgery Treatment in Pune, Maharashtra
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Transcript of Doss India - Appendix Surgery Treatment in Pune, Maharashtra
Appendicitis Inflammation of the appendix is known as
appendicitis.
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Appendix The vermiform or worm like
appendix, arising from the posteromedial wall of the caecum,about 2cm below the ileocaecal orifice.
Dimensions: The length varies from 2 to 20
cm or 2-9 in. with an avarage of 9cm.
It is longer in children than adults. The diameter is about 5mm.
The lumen is quite narrow and may be obliterated after mid adult life.
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Positions
• parabolic 11 o’ clock • retrocaecal or colon•the splenic 2 o’ clock •horizontally to the left 3 o’clock •pelvis(pelvic) 4 o’clock•mid inguinal 6 o’clock
•The appendix lies in the right iliac fossa.• Although the base of the appendix is fixed, the tip can point in any direction.
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Peritonial relations
The appendix is suspended by a small, triangular fold of peritoneum, called the mesoappendix, or appendicular mesentery.
The fold passes upwards behind the ileum, and is attached to the left layer of the mesentery.
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Physical signs Hyperesthesia in the right
iliac fossa
Tenderness at Mc berney’spoint
Muscle guard and rebound tenderness over the appendix
Rovsing’s sign
Cope’s psoas test
Cope’s obturator test
Appendicitis
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Commonest causes Obstructive causes:
1. Faecolith2. Caliculi3. Foreign body 4. Tumor 5. Worms 6. Diffuse lymphoid hyperplasia
Non obstructive causes:1. Haematogenous spread of generalized infection 2. Vascular occlusion3. In appropriate diet lacking roughage
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Contact Us
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Dr. Satish PattanshettiM.S ( Gen. Surg ) , F M A S
Fellowship in Bariatric and Metabolic Surgery (Taiwan)
Consulting Laparoscopic & General Surgeon
Bariatric & Metabolic Surgeon
Specialist in Single port Laparoscopic Surgery
Dr. Neeraj V RayateDirector and Principal Surgeon
Dr Neeraj Rayate is a GI and General surgeon with expertise is laparoscopic and robotic
surgery for gastro-intestinal diseases and bariatric surgery. After completing his medical
education in India. He has also completed a fellowship in Gynecological Endoscopy from the
Giessen School of Endoscopic Surgery in Germany. Dr. Rayate has special interest in
Hepatopancreatobiliary surgery and gynecolological oncology.
