What is the preferred method to control significant bleeding during an open appendectomy after a McBurney incision?

The preferred method to control significant bleeding during an open appendectomy after a McBurney incision is the use of the Bovie and lap sponges. The Bovie, which is an electrosurgical tool, allows for the precise coagulation of blood vessels, effectively minimizing blood loss during surgery. This tool is particularly useful in the abdominal cavity, where blood vessels can be small and numerous, making it essential to control bleeding quickly and effectively.

Lap sponges, also known as laparotomy sponges, are typically used in conjunction with the Bovie to absorb any excess blood and provide a clean surgical field. Their larger size and absorbent nature help manage the significant bleeding that may occur during the procedure, allowing the surgeon to maintain visibility and control while performing the appendectomy.

In contrast, other methods such as hemostatic clamps and sutures might be useful for specific bleeding vessels but may not provide the rapid response that a Bovie can deliver in a dynamic surgical environment. Cold packs and gauze, as well as pressure and adhesive dressings, are generally not effective in an intraoperative setting where immediate hemostatic control is crucial. They are more appropriate for postoperative care or external bleeding scenarios. Therefore, the combination of Bovie and lap sponges