**6.6 Procedure (iaparoscopic appendectomy)**

Port placement can be done as shown in the figure after creating pne umoperitoneum (**Figure 12**).

**Figure 12.** *Port placement.*

Appendix was skeletonized and mesoappendix was secured by bipolar coagulation forceps. As described above appendicular base is secured by various different techniques (**Figures 13** and **14**).

**Figure 13.** *Securing mesoappendix.*

**Figure 14.** *Removal of Appendix.*

Port site infection is prevented by using specimen retrieval bag when appendix is friable or badly infected. After complete examination of pelvic cavity, thorough wash is given and a drain may be kept if needed.
