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Appendix is the small protrusion present in the lower right region of abdomen. The studies have found that appendix function in protecting the bacteria and benefit the colon to function properly. The appendicitis surgery is the common method of treatment and to remove appendix. The seriousness of the disease is identified through physical examination and tests by the doctor and the surgery is then decided to reduce the criticalness. If a patient is said to experience the classic symptoms with the suspicion of appendicitis then surgery is immediately suggested even without any diagnostic tests.
The Appendicitis surgery can be done in two ways. They include laparotomy and laparoscopic surgery. The laparotomy which is the older method of surgery involves the removal of appendix through single incision in the abdomen’s lower right region. The laparoscopic surgery appendicitis is the new surgical method by using small incisions and special tools. This is the most advanced method to remove appendix, but may result some complications that are related to hospital infections. It takes only little time for recovering unlike the older method.
In laparoscopic surgery appendicitis the patient is given general anesthesia and about four incisions are made. One incision of laparoscope will send the images to video monitor that is attached with a camera. The other three incisions are used for manipulating and holding the abdomen tissues. During the surgery carbon dioxide gas is being inflated in to abdominal cavity in order to create the room for doing the surgery and see. The appendix is identified, dissected and then removed carefully. After the surgery is over carbon dioxide gas is removed and the surgeon may use clips, staples or sutures. After the surgery is over the pain is decreased, the patient may not stay in the hospital for long and the bowel function returns. The patient can start doing his normal work. There are also some risks involved in undergoing the laparoscopic surgery appendicitis. But it is comparatively less than the open technique of surgery. There may be some bleed, possibility of infection around abdomen or wound, injury may happen to the surrounding organs like intestine, blood vessels, nerves or bladder. There may be difficulty in urinating soon after the surgery so temporary catheter may be done for draining the bladder.
In some cases when the surgeon finds it difficult to see the tissue and handle safely, then open technique is followed either before or during the laparoscopic surgery. The surgeon in certain condition will try to convert the laparoscopic surgery to open technique surgery for the safety of the patient. This condition may arise due to obesity or any previous abdominal surgery that causes the scar tissue dense and unable to see the organs when there is a bleed during the surgery. And so the condition may not say that laproscopic surgery has failed.
