doss india - appendix surgery treatment in pune, maharashtra
DESCRIPTION
Appendix Surgery Diabetes & Obesity, Hernia Surgical Solution is a Pune based organization specialising in the field of Minimal Invasive (Laparoscopic) and Bariatric (Obesity) surgeries.TRANSCRIPT
AppendicitisInflammation 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 relationsThe 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 signsHyperesthesia in the
right iliac fossaTenderness at Mc
berney’s pointMuscle guard and
rebound tenderness over the appendix
Rovsing’s signCope’s psoas test Cope’s obturator
test
Appendicitis
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Commonest causesObstructive causes: 1. Faecolith 2. Caliculi 3. Foreign body 4. Tumor 5. Worms 6. Diffuse lymphoid hyperplasiaNon obstructive causes: 1. Haematogenous spread of generalized infection 2. Vascular occlusion 3. In appropriate diet lacking roughage
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Contact Us
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Dr. Satish PattanshettiM.S ( Gen. Surg ) , F M A SFellowship in Bariatric and Metabolic Surgery (Taiwan)Consulting Laparoscopic & General SurgeonBariatric & Metabolic SurgeonSpecialist in Single port Laparoscopic Surgery
Dr. Neeraj V RayateDirector and Principal SurgeonDr 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.