Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Appendicitis Tips

Appendicitis - Laparoscopic Appendecectomy!

Dr. Gaurav Bansal 91% (2235 ratings)
MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Appendicitis - Laparoscopic Appendecectomy!

APPENDICITIS LAPAROSCOPIC APPENDECECTOMY

APPENDICITIS is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. The appendix doesn't seem to have a specific purpose. Appendicitis causes pain in lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe. Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30. Standard treatment is surgical removal of the appendix.

Symptoms Signs and symptoms of appendicitis may include:

• Sudden pain that begins on the right side of the lower abdomen Sudden pain that begins around your navel and often shifts to your lower right abdomen

Pain that worsens if you cough, walk or make other jarring movements

Nausea and vomiting

• Loss of appetite

• Low-grade fever that may worsen as the illness progresses

Constipation or diarrhea

• Abdominal bloating

Causes

A blockage in the lining of the appendix that results in infection is the likely cause of appendicitis. The bacteria multiply rapidly, causing the appendix to become inflamed, swollen and filled with pus. If not treated promptly, the appendix can rupture.

Complications Appendicitis can cause serious complications, such as:

A ruptured appendix. A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immediate surgery to remove the appendix and clean your abdominal cavity.

• A pocket of pus that forms in the abdomen. If your appendix bursts, you may develop a pocket of infection (abscess). In most cases, a surgeon drains the abscess by placing a tube through your abdominal wall into the abscess. The tube is left in place for two weeks, and you're given antibiotics to clear the infection. Once the infection is clear, you'll have surgery to remove the appendix. In some cases, the abscess is drained, and the appendix is removed immediately.

Diagnosis

To help diagnose appendicitis, your doctor will likely take a history of your signs and symptoms and examine your abdomen. Tests and procedures used to diagnose appendicitis include:

A physical exam to assess your pain. Your doctor may apply gentle pressure to the painful area. When the pressure is suddenly released, appendicitis pain will often feel worse, signaling that the adjacent peritoneum is inflamed. Your doctor also may look for abdominal rigidity and a tendency for you to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding).

• Blood test. This allows your doctor to check for a high white blood cell count, which may indicate an infection.

• Urine test. Your doctor may want you to have a urinalysis to make sure that a urinary tract infection or a kidney stone isn't causing your pain.

• Imaging tests. Your doctor may also recommend an abdominal X-ray, an abdominal ultrasound or a computerized tomography (CT) scan to help confirm appendicitis or find other causes for your pain.

Treatment Appendicitis

Treatment usually involves surgery to remove the inflamed appendix. Before surgery, you may be given a dose of antibiotics to prevent infection. Surgery to remove the appendix (appendectomy) Appendectomy can be performed as open surgery using one abdominal incision about 2 to 4 inches (5 to 10 centimeters) long (laparotomy).

LAPAROSCOPIC APPENDECTOMY , surgery can be done through a few small abdominal incisions During a laparoscopic appendectomy, the surgeon inserts special surgical tools and a video camera into your abdomen to remove your appendix. In general, laparoscopic surgery allows you to RECOVER FASTER and heal with LESS PAIN and scarring. It may be better for people who are elderly or obese. But laparoscopic surgery isn't appropriate for everyone. If your appendix has ruptured and infection has spread beyond the appendix or you have an abscess, you may need an open appendectomy, which allows your surgeon to clean the abdominal cavity.

1 person found this helpful

Appendectomy (Appendix Surgery) - How To Prepare For It?

Dr. C.S. Ramachandran 90% (589 ratings)
FICS, FCCP (USA), DNB (General Surgery), MS - General Surgery, MBBS
General Surgeon, Delhi
Appendectomy (Appendix Surgery) - How To Prepare For It?

How to prepare for an appendectomy

Appendectomy is the medical term for the surgery that is performed to remove the inflamed appendix (a condition that is known as appendicitis). This surgical treatment is mostly performed on an emergency basis.

But before you move on to know how to prepare for the surgery, it's important why it is important to get a surgery for appendicitis done?

What exactly is appendicitis?

Appendicitis is a medical condition in which the appendix (that is the worm-shaped projection which arises out of the beginning of the colon) gets inflamed.

The major cause of appendicitis is that the tissues of the appendix become infected with bacterial action that results in the formation of pus in the lumen (opening) of the appendix. Factors that can trigger bacterial infection are a hard stool, attack by a foreign body, and accumulation of thick mucus in the appendix tissues among others.

Appendicitis results in aching and acute pain in the abdominal region of the affected person. In many people, it is accompanied by complications like vomiting, nausea, fever, loss of appetite, constipation, abdominal swelling etc. In more severe cases, it is accompanied by diarrhoea.

Appendicitis usually requires an emergency surgery. However, there are some things you need to do before going for the surgery.

Preparations to undertake before surgery

In most cases, appendectomy is an emergency surgery so there are hardly any preparations that a patient can make. The most common preparatory measure that your surgeon may prescribe includes not eating anything up till a few hours before the surgery. Apart from that, certain medications may be prescribed to eliminate or at best reduce the symptoms of nausea and vomiting. There are no other preparations as such that you can undertake before appendectomy.

Recovery period

The recovery time is subjective as it depends on the type of procedure used for the surgery, the type of anaesthesia and the various complications associated with your condition. In general cases, the patients can recover within 12 hours of the surgery. However, it takes approximately 4-6 weeks for a person to resume a normal lifestyle after an appendectomy.

What Is Appendectomy And How Is Appendectomy Performed?

Dr. Shrikant Kurhade 89% (16 ratings)
M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
General Surgeon, Pune
What Is Appendectomy And How Is Appendectomy Performed?

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.

Appendicectomy - Everything You Should Know About It!

Dr. Sharad Daga 90% (27 ratings)
DNB - General Surgery, MBBS, FMAS.Laparoscopy
General Surgeon, Jaipur
Appendicectomy - Everything You Should Know About It!

When the appendix (present at the junction of the small intestine and the large intestine) becomes swollen, it is called appendicitis. It can be acute or chronic and is a common cause of abdominal pain. It can happen at any age but it usually occurs between the ages of 10 and 30.

The appendix is an organ whose function is not yet known. It is believed that the appendix helps in recovering from diarrhoea and infections of the small or large intestine. However, the body can function normally without the appendix.

Symptoms of appendicitis

When the appendix inflames, bacteria start to multiply and this leads to the formation of pus inside the appendix. The build-up bacteria are accompanied by the following symptoms-

• Pain in the abdomen
Nausea and vomiting
• Diarrhoea

Appendicitis requires immediate medical intervention. If it bursts, it expels poisonous pus into the abdominal cavity and it can be life-threatening.

Surgery for appendicitis (Appendicectomy)-

In most cases, surgery is the only permanent cure for appendicitis. Appendicitis often causes an abscess. Your doctor will recommend a course of antibiotics and then drain the abscess through your skin. After the treatment for infection, the doctor will prepare you for surgery.

Appendicectomy can be a laparoscopic surgery or an open surgery. If you are already taking some over-the-counter medicines, or are pregnant or if you are allergic to some medicines, you must inform your doctor before the surgery. On the day of the surgery, the doctor will ask you to not drink any water for seven or eight hours prior to the operation.

• If the surgery is laparoscopic, the surgeon makes three minute incisions in the abdomen. Then a camera (which displays images of the inside of the abdomen) and surgical instruments are inserted through the three holes into the abdomen. With the help of these, the surgeon extracts the appendix. A laparoscopic surgery is more advantageous than an open surgery because laparoscopic surgery reduces the risk of infection, causes less pain after surgery.

• When an appendix bursts, you will need immediate surgery. And for this, a surgeon will opt for an open surgery. In case of an open surgery, an incision is made in the lower right side of the abdomen. Then the appendix is removed and the wound is closed with stitches. Since it is an open surgery, the surgeon gets the opportunity to clear up your abdominal cavity if the appendix had burst. An open surgery is the most preferred type of surgery when it comes to a ruptured appendix.

The benefit of the surgery lies in the fact that you will never again get appendicitis. Moreover, a surgery can prevent the complications that arise from appendicitis.

Recovery after an appendicectomy-

• If the surgery is laparoscopic, you will be discharged from the hospital within a day.

• If the surgery followed a burst appendix, you may be required to stay in the hospital for around a week. The doctor will recommend bed rest for at least three weeks and you will be able to get back to work in a month.

If you have appendicitis, you will continuously have to endure pain in your abdomen. The situation becomes grave when your inflamed appendix bursts. Doctors advise people with appendicitis to undergo surgery so that the eventuality of a burst appendix does not arise.

3214 people found this helpful

How Is Appendectomy Performed?

Dr. Hemendra Singh 87% (208 ratings)
MBBS, MS - General Surgery
General Surgeon, Ghaziabad
How Is Appendectomy Performed?

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.

Pre-Operation Care For Appendicitis - 11 Things You Must Follow!

Dr. Prashanth Hegde 87% (10 ratings)
MBBS, MS - General Surgery, Fellowship in Gastroenterology
General Surgeon, Hyderabad
Pre-Operation Care For Appendicitis - 11 Things You Must Follow!

Appendicitis, also commonly referred to as epityphlitis, is generally an inflammation that is triggered by bacterial, fungal, or viral infections. Since the appendix happens to empty into the colon with lesser efficiency and because the lumen is also small, it experiences some form of obstruction, being otherwise vulnerable to infections. This then manifests in the form of a primary factor that causes appendicitis. The pain that generates from this affected region remains localized primarily within the right lower quadrant of your abdomen.

The inflamed appendix then gradually fills up with pus. Appendectomy is considered to be the only curative procedure to treat a case of appendicitis. Pre-operative care is always stressed upon immensely so as to provide the best results to the patients:

  1. Complete bed-rest and relaxation is suggested to patients once the symptoms have been put under the light of clinical examination.
  2. Intubation is then provided if necessary.
  3. Patients also require to fast during the period right before the operation.
  4. Antibiotics must be prescribed in order to prepare the patient for surgery.
  5. Radiological and laboratory examinations are then carried out.
  6. Blood sugar levels must be established to decide if the patient is ready to undergo surgery or not.
  7. Patients who have any previous record of hypertension may be prone to experiencing some amount of anxiety right before the operation itself. If such a case arises, the surgery might be cancelled to avoid any incidence of complications.
  8. Mental preparation must be taken by the patient himself since psychological and physiological stress has a way of jeopardizing the operation.
  9. Presence of friends and family helps immensely to stabilize and relax the patients.
  10. The patient must be explained the very nitty-gritty of the surgery and how it’s going to take place so that he may not face anxiety.
  11. A sedative might be introduced to the patient to help him relax.

Along with the aforementioned factors, a number of things need to be taken care of if the question of appendicitis arises. Since operations are primarily carried out as emergency surgeries, there is little that can be done at the last moment itself. Ensure that the person has an empty stomach and is stable enough to undergo the procedure.

1 person found this helpful

Appendicitis - How Can It Be Treated?

MS - General Surgery
General Surgeon, Nashik
Appendicitis - How Can It Be Treated?

Even Roald Dahl faked having appendicitis in his famous book, but, what exactly is appendicitis? Wouldn’t it be a little interesting, to say the least, to find out what causes it and what treatment a person can expect to undergo in the case of getting it?

Quite simply, appendicitis is the name of the condition when the appendix swells up. Under normal circumstances, it is about three and a half inches in length. The ironic part about this is the fact that though appendicitis may cause tremendous pain and warrants surgery, no doctor is really aware of the reason why the appendix exists, in the first place! As a matter of fact, it is fully possible to live without an appendix and many people have not experienced any health problems after having their appendix removed.

While the appendix does not serve any properly defined function, this really does not mean that appendicitis is something that is not all that serious. In fact, if there is an explosion of the appendix, a person can die without very strong levels of medication in a time bound manner!

So, what is the cause behind this scary prospect? Simply said, when the appendix gets blocked, the result is appendicitis. What blocks it? Well, it could be cancer, a foreign body or even stool! That being said, it is to be kept in mind that this is not the only reason as to why appendicitis exists. If there is an infection in the body, in response to it, the appendix may end up getting inflamed.

With the exception of a very small minority of cases in which very strong antibiotics are made use of in order to treat appendicitis, a surgery to remove the appendix is usually a given case scenario when a person has appendicitis. As a matter of fact, it is treated as an emergency and the doctors go ahead and start the treatment as soon as possible to avoid the possibility of the rupture of the appendix.

It usually takes about two or three weeks before a person can get back to normal activities though some gentle movement can be undertaken within about twelve hours since the end of the operation. There are two types of surgery. If a laparoscopic surgery is being performed, the recovery is relatively straightforward but if an open surgery is performed, the recovery can take more time and would require a greater amount of care.

1842 people found this helpful

Laparoscopic Appendicectomy!

Dr. Sapan 92% (1366 ratings)
MS - General Surgery, MBBS, Fellowship in Laparoscopy
General Surgeon, Udaipur
Laparoscopic Appendicectomy!

Laparoscopic Appendicectomy!

1 person found this helpful

Appendicitis - How Can It Be Treated?

Dr. Ravinder Pal Singh 84% (10 ratings)
MBBS, MS - General Surgery, M.Ch - Surgical Gastroenterology/G.I. Surgery, Fellowship In HPB Surgery and Liver Transplant, PDCC Abdominal Ultrasonography, Hands on course on Microvascular Surgery
Surgical Gastroenterologist, Delhi
Appendicitis - How Can It Be Treated?

Even Roald Dahl faked having appendicitis in his famous book, but, what exactly is appendicitis? Wouldn’t it be a little interesting, to say the least, to find out what causes it and what treatment a person can expect to undergo in the case of getting it?

Quite simply, appendicitis is the name of the condition when the appendix swells up. Under normal circumstances, it is about three and a half inches in length. The ironic part about this is the fact that though appendicitis may cause tremendous pain and warrants surgery, no doctor is really aware of the reason why the appendix exists, in the first place! As a matter of fact, it is fully possible to live without an appendix and many people have not experienced any health problems after having their appendix removed.

While the appendix does not serve any properly defined function, this really does not mean that appendicitis is something that is not all that serious. In fact, if there is an explosion of the appendix, a person can die without very strong levels of medication in a time bound manner!

So, what is the cause behind this scary prospect? Simply said, when the appendix gets blocked, the result is appendicitis. What blocks it? Well, it could be cancer, a foreign body or even stool! That being said, it is to be kept in mind that this is not the only reason as to why appendicitis exists. If there is an infection in the body, in response to it, the appendix may end up getting inflamed.

With the exception of a very small minority of cases in which very strong antibiotics are made use of in order to treat appendicitis, a surgery to remove the appendix is usually a given case scenario when a person has appendicitis. As a matter of fact, it is treated as an emergency and the doctors go ahead and start the treatment as soon as possible to avoid the possibility of the rupture of the appendix.

It usually takes about two or three weeks before a person can get back to normal activities though some gentle movement can be undertaken within about twelve hours since the end of the operation. There are two types of surgery. If a laparoscopic surgery is being performed, the recovery is relatively straightforward but if an open surgery is performed, the recovery can take more time and would require a greater amount of care.

2855 people found this helpful

Appendectomy - Things That Can Help You Recover Fast!

Dr. Deepti Thakkar 92% (88 ratings)
MBBS, DNB - General Surgery
General Surgeon, Hyderabad
Appendectomy - Things That Can Help You Recover Fast!

What is an Appendectomy? 
An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical removal 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. Nowadays it is most commonly performed laparoscopically with small incisions to reduce pain and quicken recovery. 

Conventional Open Appendectomy- 
In the conventional open surgery, the surgeon makes an incision which is about 2.5- 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 (first part of large intestine).

The muscle layers and the skin are sewn together and the incision is closed. 

Laparoscopic Appendectomy (LA)- 
While performing appendectomy laparoscopically, 2 or 3 incisions of 0.5 or 1 cm length are made in the abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body. 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. 75810

Recovery Time For Appendectomy- 
With the advent of laparoscopy, recovery is very fast and patients can be discharged on the same day. They need to avoid any heavy exercise and oily and spicy food for a few days. They can resume work in a day or two. 

Risks and complications of Appendicitis and Appendectomy 
A routine appendectomy has very few complications. As appendix is not essential for digestion, there is no change in physiology. A ruptured appendix can sometimes give high fever, pus formation and intra-abdominal infection. Hence it is essential to treat appendicitis early. In case you have a concern or query you can always consult an expert & get answers to your questions!

1956 people found this helpful
Icon

Book appointment with top doctors for Appendicitis treatment

View fees, clinic timings and reviews