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January 21 2010

Auto-appendectomy in the Antarctic: case report — Rogozov and Bermel 339: b4965 — BMJ

The operation began at 2 am local time. Rogozov first infiltrated the layers of abdominal wall with 20 ml of 0.5% procaine, using several injections. After 15 minutes he made a 10-12 cm incision. The visibility in the depth of the wound was not ideal; sometimes he had to raise his head to obtain a better view or to use the mirror, but for the most part he worked by feel. After 30-40 minutes Rogozov started to take short breaks because of general weakness and vertigo. Finally he removed the severely affected appendix. He applied antibiotics in the peritoneal cavity and closed the wound. The operation itself lasted an hour and 45 minutes.1 2 Partway through, Gerbovich called in Yuri Vereshchagin to take photographs of the operation.

via Auto-appendectomy in the Antarctic: case report — Rogozov and Bermel 339: b4965 — BMJ.