Laparoscopic Appendectomy

The appendix is a finger like pouch attached to the large intestine and located in the lower right area of the abdomen. Scientists are not sure what the appendix does, if anything, but removing it does not appear to affect a person’s health.

What is Appendicitis?

Appendicitis is a painful swelling and infection of the appendix. Appendicitis is a medical emergency that requires immediate care. People who think they have appendicitis should see a doctor or go to the emergency room right away. Swift diagnosis and treatment reduce the chances the appendix will burst and improve recovery time.

What are the indications for an open appendectomy?

Surgery to remove the appendix is called appendectomy. Your doctor may recommend an open appendectomy if your appendix has already burst or if you have had a previous open abdominal surgery.

How should I prepare for an open appendectomy?

Before the procedure, your doctor will briefly explain the entire procedure. You will be offered the opportunity to ask any questions that you may have about the procedure. Your doctor will obtain your entire medical history, perform a thorough physical examination, and obtain blood and other diagnostic tests to check for any abnormality. You should notify your doctor about your medications, allergies, or any other existing medical condition. You will be instructed to be on an empty stomach before undergoing the procedure. Your doctor will instruct you on specific preparation depending on your condition.

How is an open appendectomy performed?

You will be given general anaesthesia, which means you will sleep throughout the entire procedure. A 2-to 3-inch incision will be made in the lower right portion of your abdomen. Your abdominal muscles will be separated, and an entry way will be created into your abdominal cavity. On entering into the abdominal cavity, your appendix will be located. Your appendix will then be tied off with sutures and removed. If your doctor finds your appendix to be ruptured, he or she will wash your abdomen thoroughly with saline and place a small tube in the incision to drain out any fluids or pus. Your surgeon will then close the lining of your abdominal cavity and abdominal muscles with stitches. On completion of the procedure, the appendix will be sent to the laboratory for analysis. Your doctor will close your skin incision with sutures or surgical staples and apply sterile dressings over the surgical wound.

What can I expect after the procedure?

You will be admitted in the hospital for up to a week. You will be given antibiotics and pain medications by your doctor. It is quite normal to feel constipated and you will be prescribed medicines for the same by your doctor. You will be instructed on proper wound care and activity restrictions. You may return to your normal activities in a week or two after your procedure. You will need to avoid strenuous activities for four to six weeks following your open appendectomy. Your doctor will make arrangements for your follow-up visits, usually two to three weeks after your procedure. Stitches will be removed during a follow-up visit to your doctor’s office.

When to seek medical advice?

It is important to check for any signs of problems during your postoperative period. Contact your doctor immediately if you experience any of the following symptoms:

  • Increasing pain or swelling
  • Repeated vomiting
  • Persistent fever above 101 degrees Fahrenheit
  • Bleeding or discharge from the incision site
  • Difficulty breathing or persistent coughing

What are the risks of an open appendectomy?

Appendectomies are one of the most commonly performed surgical procedures and long-term complications are rare. Some of the potential risks include wound infection, bleeding under the skin (haematoma), scarring, and hernia.

  • Royal Australasian College of Surgeons
  • St Vincent's Private Hospital
  • Gastroenterological Society of Australia
  • Gastroenterological Society of Australia
  • Monash University
  • Australia and New Zealand Hepatic, Pancreatic and Biliary Association
  • Australia & New Zealand Gastro Oesophageal Surgery Association
  • Eastern Health
  • Royal Australasian College of Surgeons
  • Knox Community Hospital
  • Society for Surgery of the Alimentary Tract
  • Goulburn Valley Health
  • Epworth Eastern Hospital
  • General Surgeons Australia
  • Association of Upper Gastrointestinal Surgeons (AUGIS) of Great Britain and Ireland
  • Association for Academic Surgery