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Laparoscopy Surgery

APPENDIX

Overview

The appendix is a small worm-like structure attached to the cecum, the beginning of the colon, on the lower right side of the abdomen. During first few years of life, appendix functions as part of the immune system, but after that, it does not have any known function. Sudden inflammation of appendix is known as Appendicitis- and if you are able to recognize its symptoms, you can prevent serious appendicitis complications from occurring. The most serious complication of appendicitis is an infection of the lining of your abdominal cavity (peritonitis). This may occur if your appendix ruptures (perforates) and the contents of your intestines and infectious organisms invade the peritoneal cavity. Peritonitis is a medical emergency.

Symptoms

  • Abdominal pain – pain may begin around the belly button and then get localized in right lower abdomen
  • Nausea
  • Vomiting
  • Abdominal pain may be worse when walking or coughing
  • Loss of appetite
  • Fever usually occurs within several hours
  • Constipation
  • Rectal tenderness
  • Chills and rigours

Diagnosis of appendicitis

The conclusion of an infected appendix starts with an intensive history and physical examination. As patients usually have an elevated temperature, there is moderate to severe tenderness in the right lower abdomen, when the doctor physically examines it. On the off chance that, inflammation has spread to the peritoneum, there can be a

frequently rebound tenderness. Rebound tenderness is pain that is worse when the doctor quickly releases his or her hand after gently pressing on the abdomen over the area of tenderness.

The following tests are usually used to make the diagnosis:

Blood test to look for signs of infection

Urine test to rule out other conditions, such as a bladder infection

Computerised tomography (CT) scan or an ultrasound scan to see if the appendix is swollen.

Treatment options available for appendicitis

  • ??Laparoscopic technique - The appendix is taken out with instruments put into small abdominal incisions.

Laparoscopic Appendectomy

Procedure

  • After administering anaesthesia the abdomen is prepared with an antibacterial solution.
  • The peritoneal cavity is inflated with gas (usually carbon dioxide).
  • The surgery starts with a small abdominal incision beneath the belly button in the skin crease, which allows the insertion of the laparoscope. Another two or three small incisions may be necessary to insert the laparoscopic instruments to dissect and remove the appendix.
  • Using the laparoscopic surgical tools, the tissues and vessels encompassing the appendix are cut and tied.
  • The appendix is put in a plastic bag before being removed through the small incision to prevent infection of the wound.
  • The abdominal cuts are all closed with clips, which are probably going to leave insignificant scars.
  • The removed appendix is sent to a pathology lab for biopsy

Advantages of laparoscopic appendectomy

The main advantages are:

  • Less post-operative pain
  • Faster recovery
  • Short hospital stay
  • Less post-operative complications like wound infection and adhesion

To treat your appendix related problems you can visit Diyos as we have state of the art infrastructure and we are also known as the best hospital for appendix treatment in Delhi.

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