Appendicectomy (Laparoscopic) with Pelvic Drain
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Laparoscopic Appendicectomy with Pelvic Drain
OPERATIVE DIAGNOSIS: [Diagnosis]
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: Co-amoxiclav given at induction
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
WHO Checklist performed.