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Gastroenterology

Appendicitis

Appendectomy is the surgical removal of the Appendix. It is a common emergency surgery to treat Appendicitis, which is an inflammatory condition of the Appendix.

Appendicitis

Appendectomy is the surgical removal of the appendix. It is a standard emergency surgery procedure to treat appendicitis, which is an inflammatory condition in the appendix. 

 

Appendicitis occurs when the appendix becomes blocked. The blockage causes infection, and the appendix swells. The appendix can pierce and transport bacteria to the abdominal cavity when the disease continues without treatment. This condition can have complications and may require emergency surgery. 

 

Symptoms of appendicitis

  • Sudden pain in the lower right part of the abdomen

  • Pain near the navel that moves downward

  • Pain that gets worse if you cough or walk

  • Nausea and vomiting begin shortly after abdominal pain

  • Loss of appetite 

  • 99-102 degree fever 

  • Constipation or Diarrhea 

  • Abdominal distension

  • Flatulence

If appendicitis is not diagnosed and treated promptly, it can evolve and be complicated to generate peritonitis, a condition that may be of greater risk to the patient's life.





Before the procedure

It is necessary to avoid eating or drinking eight hours before the procedure. It is also essential to report to the doctor if taking any medications. The doctor will give instructions on which drugs to use and how to use them before and after surgery. It is also essential to report to the doctor if you are pregnant or are suspected of being  pregnant, if you are allergic or have a sensitivity to latex or some  anesthesia, and if you have bleeding disorders. 



During the procedure

There are two types of Appendectomy: open and laparoscopic:

 

Open Appendectomy

During an open appendectomy, the  General Surgeon  makes an incision in the lower right part of your abdomen. The appendix is ​​removed, and the wound is closed with stitches. This procedure allows the  General Surgeon  to clean the abdominal cavity if the appendix ruptures.

 

The Doctor may choose an open Appendectomy if the appendix ruptures and the infection has spread to other organs. This procedure is the preferred option for people who have had abdominal surgery in the past.

 

Laparoscopic Appendectomy

During a laparoscopic Appendectomy, a  General Surgeon  accesses the Appendix through small incisions in the abdomen. Then, a tiny, narrow tube called a cannula is inserted. The cannula will inflate the abdomen with carbon dioxide gas. This gas allows the  General Surgeon  to see your appendix more clearly.

 

Once the abdomen is inflated, a laparoscope is inserted through the incision. The laparoscope is a long, thin tube with high-intensity light and a high-resolution camera on the front. The camera displays the images on a screen, allowing the surgeon to see into the abdomen and guide the instruments. When the appendix is ​​found, it is tied with stitches and removed. Small incisions are cleaned and closed.

 

Laparoscopic surgery is usually the best option for older adults and overweight people. It has fewer risks than an open appendectomy procedure and generally has a shorter recovery time.



After the procedure

When the surgery is over, the patient's vital signs will be closely monitored, and hospital staff will verify any adverse reactions to the anesthesia or procedure.

 

For discharging the patient, the following will be reviewed:

  • The general physical condition

  • The type of Appendectomy performed

  • Body's reaction to surgery

 

In some cases, you may need to stay in the hospital overnight.

 

In the days after the procedure, moderate pain may be felt in the areas where the incisions were made. The discomfort improves after a few days. The General Surgeon may prescribe medications to relieve pain or antibiotics to prevent infection.

 

Although there is a small risk of infection, most people recover without significant complications. Full recovery takes four to six weeks, during which time the doctor recommends limiting physical activity. Follow-up appointments should be attended within two to three weeks after surgery.

 






Am I a candidate for this procedure?

You may need an appendectomy to remove the appendix if you show symptoms of appendicitis. Appendicitis is a  medical emergency  and occurs due to its inflammation from infection, causing severe pain in the abdomen. 

 

If you have Appendicitis, there is a risk that the Appendix will burst or rupture, which can happen within 48 to 72 hours after the first symptoms appear. If the infection is not treated  urgently, it can complicate and cause abdominal peritonitis. If you experience any of the symptoms above, seek medical attention immediately with your  General Surgeon  or at the   Emergency Room.



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