INCISION:
SupraUmbilical Open Hasson 10 mm port.
10 mm epigastric, 5mm right Sub costal and 5mm right lumbar under direct vision.
FINDINGS:
Elongated Gall Bladder
PROCEDURE:
Correct identification of anatomical structures.
Cystic duct and artery identified and dissected.
Critical view achieved.
Hem-O-loks applied.
Cholecystectomy performed in standard fashion.
Hemostasis and biliostasis ascertained in surgical bed.
Washout with Normal Saline. Suction irrigation.
No. 20 F drain put in right subphrenic area
Counting of Surgical Instruments and textiles informed as correct.
Gall Bladder brought out using BERT bag umbilical port
CLOSURE:
No. 1 PDS box stitch to fascia for Umbilical & Epigastric port
3.0 monocryl subcuticular sutures
Dressings