 The patient was brought to the operative suite, placed in the supine position.  The abdomen was prepped and draped in the normal sterile fashion with Betadine solution.  The patient underwent general endotracheal anesthesia.  The patient also received a preoperative dose of Ancef 1 gram IV.  After adequate sedation was achieved, a #10 blade scalpel was used to make an infraumbilical transverse incision utilizing a Veress needle.  Veress needle was inserted into the abdomen and the abdomen was insufflated approximately 15 mmHg.  Once the abdomen was sufficiently insufflated, a 10 mm bladed trocar was inserted into the abdomen without difficulty.  A video laparoscope was inserted into the infraumbilical trocar site and the abdomen was explored.  Next, a 5 mm port was inserted in the midclavicular line of the right upper quadrant region.  This was inserted under direct visualization.  Finally, a suprapubic 12 mm portal was created.  This was performed with #10 blade scalpel to create a transverse incision.  A bladed trocar was inserted into the suprapubic region.  This was done again under direct visualization.  Maryland dissector was inserted into the suprapubic region and a window was created between the appendix and mesoappendix at the base of the cecum.  This was done while the 5 mm trocar was used to grasp the middle portion of the appendix and retracted anteriorly.  Utilizing a endovascular stapling device, the appendix was transected and doubly stapled with this device.  Next, the mesoappendix was doubly stapled and transected with the endovascular stapling device.  The staple line was visualized and there was no evidence of bleeding.  The abdomen was fully irrigated with copious amounts of normal saline.  The abdomen was then aspirated.  There was no evidence of bleeding.  All ports were removed under direct visualization.  No evidence of bleeding from the port sites.  The infraumbilical and suprapubic ports were then closed.  The fascias were then closed with #0-Vicryl suture on a UR6 needle.  Once the fascias were closed, all incisions were closed with #4-0 undyed Vicryl.  The areas were cleaned, Steri-Strips were placed across the wound.  Sterile dressing was applied.