Appendicectomy

What is an Appendicectomy?

Appendicitis (inflammation or infection of the appendix) is one of the most common types of surgery. Treatment requires an operation to remove the infected appendix. Traditionally, the appendix is removed through an incision in the right lower abdominal wall.

What happens during the operation?

In laparoscopic appendicectomies, your surgeon will operate through 3 small incisions (each ¼ to ½ inch) while watching an enlarged image of your internal organs on a television monitor. In some cases, one of the small openings may be lengthened to 2 or 3 inches to complete the procedure.

What happens if the procedure cannot be completed laparoscopically?

In a small number of patients the laparoscopic method is not feasible because of the inability to visualise or handle the organs effectively. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather sound surgical judgement. Factors that may increase the possibility of converting to the "open" procedure may include:

· Extensive infection and/or abscess

· A perforated appendix

· Obesity

· A history of prior abdominal surgery causing dense scar tissue

· Inability to visualise organs

· Bleeding during the operation

What to expect after your operation

Most patients will be discharged the day after their operation. You may need to remain an inpatient for several days with intravenous antibiotics if the appendix was perforated or badly infected.

You should avoid heavy lifting or vigorous exercise for 2 weeks following the operation.

On discharge you will be provided with analgesia, a medical certificate and a follow-up appointment.

This information is intended as a guideline only. If you have any further questions or concerns, please ask your doctor.