Appendicitis Surgery in
Karimnagar

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What Is an Appendix?

Appendix, meaning a thin tube-shaped organ, is a part of the digestive system. It is around four inches long and is attached to the large intestine. It is a vestigial organ and has no known functions. Sometimes, the appendix can get swollen due to various reasons, leading to a medical condition known as appendicitis.

What Are the Symptoms of Appendicitis?

Listed below are some of the common appendix symptoms- 1. Sudden and severe abdominal pain that starts around the navel and travels to the lower abdomen is the main symptoms of appendicitis. The pain worsens with time. Activities like walking, coughing, and sneezing can worsen the appendix pain. 2. There can be a sudden loss of appetite. 3. One of the signs of appendicitis include nausea, which sometimes may come with vomiting. 4. Some individuals with appendicitis may develop a mild fever. 5. Pressure on the lower right side of the abdomen can feel sore, tender, or painful. 6. There can be changes in bowel habits, diarrhoea, constipation, and difficulty in passing gas. 7. Appendicitis can cause pain in the rectum, in rare cases.

Who is at Risk?

The benefits of appendectomy include: 1. Successful management of appendicitis by removing the appendix and eliminating the source of any infection and inflammation 2. Relief from stomach pain caused by appendicitis 3. Short hospital stay and quick recovery 4. Appendix removal ensures there are no chances of developing appendicitis again 5. Laparoscopic appendicitis surgery is minimally invasive, resulting in little to no to smaller postoperative discomfort and scarring However, it also comes with the following risks: 1. Like any surgery, appendicitis carries potential risks like infection, bleeding, and damage to nearby organs, blood vessels, and nerves. 2. Postoperative pain at the operation sites is common. 3. Open appendectomy involves a single, large incision, resulting in a more noticeable scar than the smaller incisions used in laparoscopic surgery. 4. Some individuals may experience allergic reactions to surgery medications or have anaesthesia-related complications. In rare cases, appendectomies can cause a residual abscess or a 'stump appendicitis' (inflammation of the remaining part of the appendix).

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What Causes Appendicitis?

A few factors that can lead to appendicitis are: 1. Blockage due to hardened faecal matter (also known as appendix stones) 2. Bacterial infection in and around the appendix 3. Swollen lymph nodes 4. Tumours 5. Cystic fibrosis

What Are the Eligibility Criteria for Getting an Appendectomy?

Appendicitis diagnosis including physical examination, blood and imaging tests. 1. Decision to perform an appendectomy depending on the degree of inflammation and other symptoms. Patients with mild to severe appendicitis are eligible for surgery. 2. Urinary tract infections (UTI), gastrointestinal issues, or gynaecological concerns cause similar symptoms and need to be ruled out before appendectomy. 3. Overall stable physical health to undergo surgery, tolerance to anaesthesia and have a healthy cardiovascular and respiratory system. Appendectomy An appendectomy is a surgical procedure used to remove the appendix. Appendectomies are considered medical emergencies as an inflamed appendix might rupture within 36-48 hours after its symptoms develop. Appendectomies are of two types - laparoscopic and open appendectomy. Listed below are the steps involved in this procedure: 1. IV with antibiotics within 24 hours of diagnosis to initiate appendix treatment. 2. Additional assessments (blood tests, imaging tests, etc.) to have more clarity about the nature and signs of appendicitis. 3. During the procedure, the patients are given general anaesthesia and muscle relaxants to minimise pain and discomfort. 4. For a laparoscopic appendectomy, the surgeon will make a tiny incision near the navel. They will insert a small port into the incision, through which a cannula (a small, tube-like device) is inserted to inflate the abdominal cavity using carbon dioxide. This creates ample space for the procedure to take place. After this, they will put in a laparoscope (a thin tube with a small light and a high-resolution camera), which will guide them through the appendix operation. 5. For an open appendectomy, the surgeon will make one large incision in the lower abdominal region. They will open the abdominal cavity, disinfect it with a saline solution, and separate its muscles to locate the appendix. 6. The appendix is stitched up before being detached and removed from the intestines. 7. Any excess fluids or gases will be drained and the surgical cuts will be closed with stitches, cleaned, and dressed to prevent infection.

How Long Does It Take to Recover After an Appendectomy?

Recovery time after an appendectomy depends on the type of surgery. Most people can return to light activities within days of having a laparoscopic appendectomy, while full recovery takes 2-4 weeks. On the contrary, people undergoing an open appendectomy require 2-4 weeks of rest before returning to regular activities.

What is the Success Rate of Appendectomies?

Appendectomy has a very high success rate, especially compared to non-operative appendicitis treatments. According to a 2022 study published in the Cleveland Clinic Journal of Medicine, the surgical procedure was successful for 92% of patients for the first year, and 62% for the next year. It also found that 46% of all patients treated with antibiotics had to undergo appendectomy within the next five years.