Appendectomy is the surgical removal of the appendix. The appendix is a finger-shaped structure connected to the first part of the colon. Appendicitis is the most common reason for an appendectomy and is an inflammation and infection of the appendix. There is no medication to treat an inflamed appendix, and a burst appendix is considered to be a medical emergency.

Appendicitis is one of the most common surgical problems. Treatment requires an operation to remove the infected appendix. Operation can be done by both open and laparoscopic method.

The following are symptoms of appendicitis. Not everyone with appendicitis has all these symptoms:

  • Loss of appetite
  • constipation or diarrhea
  • Inability to pass gas
  • Nausea
  • vomiting
  • Abdominal swelling
  • Low fever
  • Severe pain in the lower belly

Laparoscopic method

Laparoscopic appendectomy involves making three small incisions in the abdomen, through which particular instruments are inserted. A gas is gently pumped into the abdominal cavity to separate the abdominal wall from the organs. This makes it easier to examine the appendix and internal organs. (However, a laparoscopic appendectomy may need to become open surgery if the appendix has ruptured.)

Open surgery

The conventional open procedure involves making an incision two to three inches long in the lower right abdomen. Open appendectomy typically requires two or three days of hospitalization and four to six weeks for full recovery.

As with any surgery, there are risks involved these too, like bleeding, infection, removal of a normal appendix, a leak at the edge of the colon , where the appendix was removed, injury to adjacent organs such as the small intestine, ureter, or bladder and blood clot to the lungs.

The choice of the procedure should be based on surgeon or patient preference. Both the surgeries can be easily done with help of Dr.K.N.Srikanth MS, FRCS.

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