Appendectomy
Appendectomy
Operation
– Acute appendicitis
– Tumors of the appendix
Different positions of the appendix
In the vast majority of cases, surgery is performed with keyhole surgery. First, a space is created in the abdominal cavity by injecting CO2 gas.
The operation is usually performed through three holes. One port for the camera and two others to insert instruments (forceps, grapplers, scissors, etc.) needed for the dissection of the appendix.
After loosening the attachments of the appendix, ligatures are inserted at the base of the appendix and one distally to prevent pus and faeces from flowing into the abdominal cavity.
The appendix is cut off between the ligatures. The appendix is then removed from the abdominal cavity through the umbilicus. Pus ,when present, is aspirated from the abdominal cavity.
If the abdominal cavity is contaminated (pus, faecal material…) after perforation of the appendix, the surgeon may decide to leave a drain. Depending on the degree of contamination with pus or faeces treatment with antibiotic may be extended for several days.
Resection of the appendix at the base of the appendix
Scars after appendicectomy with key hole surgery
In normal conditions, pain is well controlled with paracetamol (Dafalgan®), NSAIDs (anti-inflammatories) or morphine (Tradonal®…) and pain symptoms diminish over time.
If certain symptoms seem abnormal to you contact your doctor.
If this is not possible, you can contact avec your surgeon.
If you are unable to contact your GP or your surgeon, go to the emergency department at St Elizabeth Hospital in Uccle.