post splenectomy vaccination

Patient who have undergone  splenectomy either due to shattered spleen due to blunt trauma or due to hemolytic problems  should be given vaccination to cover for  Streptococcus pneumoniae, Haemophilus influenzae type B, and Neisseria meningitidis.  Patients should be advised  prior to discharge on the risk of overwhelming post splenectomy sepsis and their immunocompromised state.

Appendectomy

Ive  found this video interesting online. This a  rocky davis incision with noted peritoneum closure.
During my first year in surgery I did 38 appendectomies, 15 during second year another 40  during my third year in general surgery residency.