Wound closure
Before closure, the wound is irrigated with either normal saline or a solution of aqueous betadine.
The appendicectomy wound is closed in layers:
- peritoneum:
- the edges of the incision are gripped with artery forceps and raised up; this is vital to ensure that the underlying bowel is not included in the closure
- absorbable suture used
- continuous stitching
- transversus abdominis and internal oblique
- closed together as one layer
- absorbable suture
- interrupted sutures
- external oblique:
- absorbable suture
- continuous stitching
- fat: dead space can be obliterated with a few absorbable interrupted stitches but if there was a perforation or necrotic appendix, the fat can be left open to facilitate possible drainage
- skin: can be closed with absorbable interrupted or subcuticular stitches
Create an account to add page annotations
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.