HistoricalperspectiveIn 1889,ChesterMcBurneydescribedcharacteristic migratorypainas well aslocalization of the pain along an obliqueline from the anterior superior iliac spine totheumbilicus.In1894,McBurneydescribedarightlowerquadrantmuscle-splittingincisionforremoval oftheappendix
Historical perspective ● In 1889, Chester McBurney described characteristic migratory pain as well as localization of the pain along an oblique line from the anterior superior iliac spine to the umbilicus. ● In 1894, McBurney described a right lower quadrant muscle-splitting incision for removal of the appendix
HistoricalperspectiveInthe 194Os,the mortalityrate from appendicitisimproved with thewidespreaduseofbroad-spectrumantibioticsIn1982,LaparoscopicappendectomywasfirstreportedbythegynecologistKurtSemmbuthasonlygainedwidespreadacceptanceinrecentyears
Historical perspective ● In the 1940s,the mortality rate from appendicitis improved with the widespread use of broad-spectrum antibiotics. ● In 1982, Laparoscopic appendectomy was first reported by the gynecologist Kurt Semm but has only gained widespread acceptance in recent years
Anatomy&physiologyThebase ofthe appendixis located attheconvergence ofthetaeniae(3)of colonThis anatomic relationship facilitates identification andlocation of theappendix atoperation
Anatomy ＆ physiology ● The base of the appendix is located at the convergence of the taeniae(3) of colon. ● This anatomic relationship facilitates identification and location of the appendix at operation
福MosoappendiAODOnOcUlnAOPenC
Haustum(saccutation)ofascendingcoloneocecalFrenulumotorificeileocecal vafve-lleocecalvalveOrificeofITerminalappendixileum(A)BealpapillaloaloriiceBeum2.0.5%64%Opening of1%vermitormCecalappendixtoldsVemitorm(B)(C)appendixcumAnteriorviows