Appendectomy (Inpatient)

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More Information

What is an appendectomy?

The appendix is a narrow, finger-like, blind-ended pouch that projects out from your colon.  It is connected to the cecum, which is a part of your large intestine.

Sometimes, the appendix can become inflamed. This usually causes right lower abdominal pain. However, the pain usually begins around the navel area and then moves to the right lower quadrant of your abdomen (the actual location of the appendix). It usually happens between the ages of 10 and 30.

Appendectomy refers to removing the appendix when it becomes so much inflamed and is causing severe pain. If left untreated, the appendix can rupture, leading to serious complications. 

Why would I get an appendectomy?

The cavity of the appendix can become blocked. This will result in bacterial proliferation and inflammation. When the appendix becomes so inflamed, it can lead to serious complications such as:

1- Rupture of the appendix

If the appendix ruptures, the infection can spread throughout your abdomen, causing peritonitis (bacterial inflammation within your abdominal cavity). A ruptured appendix is an emergency, and surgery is the immediate indication to remove the appendix and clean your abdomen.

2- Sepsis

Bacteria can spread from your appendix, if ruptured, to your bloodstream leading to a serious condition called sepsis. Sepsis causes severe inflammation in your body and can have severe complications like acute kidney failure. 

What happens during an appendectomy?

Appendectomy is almost always done as a laparoscopic procedure. During a laparoscopic appendectomy, small abdominal incisions are made to insert special surgical tools with a video camera inside your abdomen to remove your appendix.

Laparoscopy allows for faster recovery with less pain and scarring. It is a better option for obese and older people. However, the procedure isn’t appropriate for everyone. If you have a ruptured appendix, this means that the infection has spread beyond the appendix, and you will need an open appendectomy.

What to expect after an appendectomy?

You will have some constipation after the procedure (for a short period). This will improve with time and can be reduced if you eat enough fibers and drink plenty of fluids. Your doctor will advise you about how to care for your wound and what activities you should avoid.

You may have some pain or bruising for the first few days after the procedure. This usually improves with time and can be decreased if you take painkillers (Consult your doctor about the best available option). 

Conclusion

Laparoscopic surgery has a faster recovery and is associated with minimal pain and scarring. You will be able to go home within 24 hours. However, if your appendix has ruptured, then you have an infection that is spread throughout your abdomen, and your surgeon will need to do an open appendectomy to clean the abdominal cavity. With open or complicated surgery, it may take up to a week before you can go home.

Get immediate medical advice if you have any of these symptoms:

  1. Increased pain and swelling
  2. Repeated vomiting
  3. Elevated temperature
  4. Discharge coming from the surgical site

Citations

Mayo Clinic: Appendicitis


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