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What is an Appendectomy?
An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical elimination of the organ known as the appendix. Appendectomy is mostly performed as an emergency surgical procedure, when patients suffer from appendicitis.
How is Appendectomy Performed?
Appendectomy can be performed both as an open operation as well as laparoscopically. An appendectomy is most often performed laparoscopically, if the diagnosis is in doubt, or if the patients feel that they need to hide their telltale surgical scars near their umbilicus or in the pubic hair line.
However, although laparoscopic appendectomy has its cosmetic advantages, and its recovery time is a little quicker, this procedure is more expensive than conventional open surgery.
Conventional Open Appendectomy-
In the conventional open surgery, the surgeon makes an incision which is less than 3 inches in length in the lower right section of the abdomen. Once the infected appendix is identified, the surgeon separates the infected appendix from its surrounding tissues and removes it surgically from the cecum (an intraperitoneal pouch that forms the junction of the small and large intestine). After that, the cecum is closed and is returned back into the abdomen. In the end, the muscle layers and the skin are sewn together and the incision is closed.
Laparoscopic Appendectomy (LA)-
While performing appendectomy laparoscopically, which is also known as LA, four incisions of 1 inch in length are made in the abdomen. One incision is made near the umbilicus, while another one is made in an appropriate region between the umbilicus and the pubis. The other two incisions, which are even smaller in size, are made in the right side of the lower abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and after identifying, frees the appendix from its surrounding tissues. Next, the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body of the patient through any one of the two 1 inch incisions. In the end, the laparoscopic instruments are removed and the incisions are sutured and closed. During this whole procedure, the intraperitoneal space is filled with medical grade carbon dioxide gas, to inflate the abdomen, which is released after the surgery.
Recovery Time For Appendectomy-
The recovery time for appendectomy depends on and varies with the type of procedure and anesthesia used during the surgery. While laparoscopic appendectomy can be done on an outpatient basis so that the patients can recover back at home, an open surgical procedure will require an overnight or even longer hospital stay.
Normally patients after appendectomy can resume their normal daily activities within a few days. However, for full recovery, it may take four to six weeks. Patients are advised to avoid strenuous activities during this period of time.
Risk and Long Term Consequences of Removing the Appendix-
While wound infections are the most common complications of this surgery, formation of an abscess in the area of the surgical incision and also in the area close to the removed appendix has also been noticed as an aftermath of appendectomy.
Other rare complications may include lack of intestinal peristalsis (ileus), gangrene of the bowel, injuries to the internal organs and infections in the peritoneal cavity (peritonitis).
Major long-term consequences of appendectomy include increased risks of bowel obstruction, stump appendicitis (infection in the retained portion of the appendix still stuck with the cecum) and development of incisional hernia at the site of the scar. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Hello I am 23 year old male. Recently I joined martial arts class for fitness. After workout I feel very tired and drained. Also my stamina is bad. Suggest me a good diet and how to increase my stamina. I smoke sometimes.
Doctor I'm 19 years old and I have tanned skin Please recommend me some cream to get a fair complex skin. Please reply. Thank you!
I am 18 old female, I suffer by a severe stomachache whenever 1 eat heavy meals like chicken etc what should I do?
I am 21 years old and my height is just 5.5 feet. My height is stopped due to adding weights. May I know if I still increase my height?
I had hair loss so I shaved my head now my hair density is too low and has some bald patches how to regrow hair on those patches.
I did ecg last monday and there was st changes with abnormality. So cardiologist suggested me to do stress test. So on wednesday I did and was able to walk for 12 minutes and 26 seconds. And seeing the reports Dr. said it was nonspecific changes. It may be due to anxiety and fear. Last month I did cholesterol it was 211 with ldl and triglycerides on higher side. And on monday I did cholesterol test again it was 251 and this time triglyceride was higher and ldl too. And pressure is 140/80 when measured by Dr. I am taking met xl 12.5.so can this medicine increase your cholesterol levels. And are they any risk of heart problem?
I, m a sugar patient. Help to get thin body I, m very fat. My body have a lot of fat. please help me out.
Sir, I am a gym guy. And from few days I have metabolism problem. It is too high. please suggest some medicines.
I am raja. I have some problem about my hair. I have dandruff. How can I reduce dandruff. Please solve my problem. I am suffering from last one year. It's irritating. Please give solution to my problem.
Left side end of the teeth having little pain but it swell outside. Left side near the mouth having white line. Both left and right side bottom teeth below have white and red color, red color is minimized.
My height is 155 cms and my age is 21 years old my growth plates are closed can I add 4 to5 inches of height to my present height.
I am writing this on behalf of my father. I am middle aged man and diabetic. I am also facing gain weight problem, precisely at stomach. What might be reason for that? because my other body parts are not obese at all. I also have a concern about my diabetes. As soon as I start to feel the hint of hunger my body stops working. I badly feel like to eat. And if I don't get anything to eat then I feel that I would faint. Why is that? Why am I not able to control my hunger even for a jiffy? Please provide plausible explanation. Thanks for you help.
I hve too much hair problem. The volume of hair on scalp is quite ok, bt on the tip its very poor. When it increases in length, it breaks, please suggest me something for this .help.
I am very much skinny and underweight. Till now I have consulted a number of doctors. They would recommend me to take protein shakes or take more calories but nothing has helped so far. Being skinny makes me look older than age. Now is there any hope for me to gain weight?
The Ideal is maintaining both Fasting post sugar at normal range. However more important is to maintain Gly. HB less then 7.0% (7.0%)
How do Gly. HB estimated?
Gly.HB is ideally done on instrument which has traceability to DCCT (Diabetes Control and Complication trial ) In simple word those techniques which are internationally accepted are to be a used for testing. Testing for Gly.HB. Does not require fasting. Gly.HB is never to be used for diagnosis of diabetes.