The surgeon is unable to gain clear access into the abdomen using the laparoscope so converts the procedure to an open appendicectomy. When he asks for scissors, describe which pair you would select, and why. Would you pass a complementary instrument as well? If so, which one?
Amy Pinehurst is a 30-year-old woman scheduled to come to your theatre for an emergency laparoscopic appendicectomy. She has had previous surgeries where it was noted she had abdominal adhesions. Her admission form says she weighs 50 kg.
What will be an ideal response?
Answer:
Metzenbaum scissors, because they have a finer tip for delicate dissection and a length appropriate to the depth of the wound. The complementary instrument would be forceps, non-toothed so as not to perforate bowel—usually debakey forceps.
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