Appendicectomy

Appendicectomy

Appendicectomy

Appendicectomy, commonly known as appendix removal, is a surgical procedure aimed at extracting the appendix from the abdomen. This can be accomplished through either an open surgical approach (traditional method) or a laparoscopic procedure (keyhole surgery).

  • The appendix is a small, finger-shaped pouch attached to the cecum, the first part of the large intestine, typically located in the lower right quadrant of the abdomen.
  • Appendicitis, often the reason for appendicectomy, occurs when a blockage in the appendix leads to infection, causing inflammation, swelling, and pus accumulation. Untreated, appendicitis can result in a ruptured appendix, leading to peritonitis, a potentially life-threatening condition.

Symptoms:

  • Sudden pain in the lower abdomen, typically on the right side
  • Pain starting near the navel and shifting to the lower right abdomen
  • Pain aggravated by coughing, walking, or other movements
  • Nausea, loss of appetite, low-grade fever
  • Constipation or diarrhea, abdominal bloating

Diagnosis:

  • Urine and blood tests to detect infection
  • Abdominal x-ray and CT scan to visualize the appendix and surrounding structures

Procedure:

  • Open Appendectomy:

    • Involves an incision in the lower right abdomen, followed by removal of the appendix. The incision is then closed with dissolvable stitches.
    • May include insertion of a drainage tube to remove fluids.
  • Laparoscopic Appendectomy:

    • A minimally invasive approach utilizing small incisions, a laparoscope (camera), and surgical instruments.
    • Surgeon visualizes the abdomen on a monitor and removes the appendix using specialized tools.
    • Incisions are closed with stitches or adhesive tapes, covered with sterile dressings.
  • Antibiotics are administered before, during, and after surgery to prevent infection, especially in cases of a ruptured appendix.

Post-Procedure:

  • Follow dietary recommendations provided by the doctor.
  • Use mild laxatives if necessary in the initial days.
  • Stay hydrated with plenty of water to prevent constipation.
  • Ensure adequate rest and avoid heavy lifting or strenuous activities.
  • Gradually resume normal activities and incorporate gentle exercise.

Risks:

  • Bleeding
  • Infection
  • Damage to surrounding abdominal structures

For further guidance on post-procedural care or to address any concerns, consult your healthcare provider.