Operative notes:

  • 10 mm and two 5 mm ports

  • diagnostic laparoscopy showed a thick inflamed appendix with a little free fluid in the pelvis

  • the rest of the laparoscopy was normal

  • total intracorporeal laparoscopic appendectomy was done

  • suction and irrigation

  • appendix was removed through the umbilical port

  • port wounds were closed

  • skin was closed

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