Open Appendicectomy - Appendix Removal

An appendectomy is the removal of the appendix. The appendix is a pouch that is attached to the large intestine.

An appendectomy is often done as an emergency procedure to treat appendicitis. Appendicitis is inflammation of the appendix. It can be caused by an infection or obstruction.

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Open Appendicectomy - Appendix Removal

The formation of an appendicular abscess is because of a blockage in the appendicular lining of the appendix. 

This could also be the underlying cause of appendicitis. The bacteria multiplying in this region now cause the appendix to become inflamed, leading to swelling, and promote the formation of pus.

 If this condition is not treated with immediate effect, the appendix could rupture. 

The rupture could lead to the infection spreading throughout the abdominal cavity, which is life-threatening and would require immediate surgery to remove the appendix and clean the infected abdominal cavity.

 This is achieved through an open appendectomy surgery. The rupture of the appendix could also lead to a localized abscess formation in the abdominal cavity. 

Open Appendicectomy -Pre-surgery Steps

You should inform our doctor if you are pregnant or have been through a recent illness, or an allergy, or a certain medical condition.

Keep your doctor informed if you are on blood-thinning medicines.

You are asked not to eat for a minimum of eight hours before the surgery.

Open Appendicectomy - Appendix Removal Surgery events.

Surgery could be done in open surgical drainage or percutaneous abscess drainage.

  • Open appendicular abscess drainage

It is an open surgery where the abscess drainage is cleared and the abdominal cavity is cleaned, and if conditions are right, the appendix is removed. 

  • Percutaneous Abscess Drainage

This procedure is done under local anesthesia. This procedure is image-guided under a CT scanner or Ultrasound. It is a minimally invasive technique under which the doctor is likely to place a catheter, drain the pus in the abscessed region over a period of two weeks, and then operate the patient for the removal of the appendix.

 The catheter tube is as narrow as a pencil lead. This is a short procedure and usually completed within 20 minutes to an hour. The catheter is connected to a drainage bag. The catheter will remain till the entire pus is drained and the infection is clear, which might take a few days. 

The doctor does prescribe antibiotics to contain the infection during this course of action. This surgery offers faster recovery as compared to open surgical drainage.

Open Appendicectomy - Post-surgery

Post-surgery the patient will be monitored in the recovery room for life signs like a heartbeat, blood pressure and once stable and out of anesthesia the patient will be shifted to the hospital room.

  • The patient will be retained in the hospital till-

  • There is no fever in the 24 hours post-surgery

  • The pain is under control through oral medications.

  • The patient is eating and well hydrated.

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