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An appendix is a small, tubular pouch that protrudes like a little tail from the bottom of your colon. It measures approximately the length of your pointer finger and is located on the lower right side of your abdomen. Your appendix may swell quickly with inflammation called appendicitis and will not take much to burst as it is too small in size. The burst appendix can lead to inflammation in your abdominal lining or an infection that spreads in your bloodstream. An Appendectomy is a surgical procedure to remove a swollen and infected appendix.
At Manipal Hospitals, Broadway, Kolkata, we specialise in performing Appendectomies, which are essential surgeries for treating appendicitis. Appendicitis requires urgent medical attention because a swollen appendix can burst. However, a healthy appendix does not have any critical functions, so its removal does not impact the body's functions. We offer two types of Appendicitis surgery in Kolkata: Open Appendectomy and Laparoscopic Appendectomy. The Laparoscopic Appendectomy is a minimally invasive procedure that does not require a large incision. Our hospital is equipped with advanced laparoscopic tools, allowing our expert gastroenterologists and laparoscopic technicians to perform these surgeries on patients of all ages effectively.
Appendicitis Surgery in Kolkata
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The causes of appendicitis include a viral infection in the digestive tract or a blockage in the opening connecting the large intestine and the appendix. However, inflammation can cause infection, a blood clot, or a rupture of the appendix.
Currently, there are no medically proven methods to prevent appendicitis. However, appendicitis is found to be less common in individuals who consume foods rich in fibre and roughage, such as raw vegetables and fruits.
Early symptoms of appendicitis may include vague bloating, indigestion, and mild pain. The main symptoms include the following:
Pain is initiated around the umbilicus
Gradually, the pain moves to the right side of the abdomen
Nausea
Vomiting
Constipation
Diarrhoea
Inability to pass gas
Low fever
Abdominal swelling
Anorexia
In spite of advanced X-ray techniques, CT scans, and ultrasounds, the most accurate non-invasive method of diagnosis is ultrasonography, but it cannot be totally reliable. Usually, the history and physical examination will lead to the correct diagnosis.
Before a laparoscopic appendectomy, several steps are taken to ensure your safety and prepare for the procedure.
These steps ensure you are in the best possible condition for the procedure and assist in the accurate diagnosis of appendicitis.
The Appendectomy is considered the safest treatment for appendicitis. There are a few exceptions, like when some individuals might be unfit for surgery. Some people might respond to initial management with antibiotics if their appendicitis is uncomplicated and caught early enough. But these people are at high risk of recurrent appendicitis. However, the risk of rupture is much more common when compared with low-risk surgery. It’s safest to remove it if your appendix is inflamed enough to rupture.
Following surgery, your medical team will monitor you in the recovery room. The type of operation and anaesthesia used will determine the recovery period. When you are stable, you will be moved to the ward. You might get an outpatient Laparoscopic Appendectomy and be sent home.
This procedure is conducted under general anaesthesia. Hence, you will probably feel some moderate pain at the site of the incision. This should improve within a few days. Your healthcare provider can prescribe appropriate pain relievers to help you manage pain during your recovery. Most of them manage well without prescription pain medication, but you may use it for a few days.
You can do a few things to take care of your incision site such as,
There are two types of appendectomy, including Open and Laparoscopic Appendectomy. The Open Appendectomy involves a larger incision, but the Laparoscopic surgery includes several smaller incisions.
Laparoscopic Appendectomy has the following rare but concerning possibilities of adverse effects including,
Before surgery, the patient should undergo physical examinations and some imaging tests to confirm appendicitis. You will be instructed to not consume anything several hours before the surgery.
The sort of surgery you underwent will determine how long it took you to heal. 1-3 weeks following laparoscopic surgery, you should be able to resume your regular activities or return to work. It might take 2-4 weeks if you have an Open Appendectomy.
The Laparoscopic Appendectomy usually takes around 1-2 hours, depending on the complexities and complications that may arise during the surgery.
The majority of acute appendicitis is treated laparoscopically. But Laparoscopic Appendectomy is a useful method for reducing hospital stays and complications and returning to normal activity. The main advantages include the following:
Less postoperative pain
Faster recovery
Short hospital stay
Less postoperative complications, such as wound infection and adhesion
Cost-effective
There are no specific complications of Laparoscopic Appendectomy in experienced hands, but if the surgeon is not well-trained enough to perform the procedure, it may lead to a few complications, including:
Missed diagnosis
Bleeding
Incomplete Appendectomy
Visceral injury
Leakage of exudates from the appendix at the time of operation
Intra-abdominal abscess
Hernia
During the post-laparoscopic Appendectomy period, patients should follow certain instructions for an easy and quick recovery. These include the following:
The patient should follow these instructions after surgery:
To avoid infection, keep your incision dry and clean.
Consume soft foods slowly, until your bowels can tolerate more solid foods.
If you had open surgery, your abdominal muscles may hurt after standing too long, hence limiting your physical activity.
Call your doctor if you notice any severe symptoms.
The patient should avoid certain things for their quick recovery:
Use of medication that hasn't been prescribed by your physician: Certain painkillers may make bleeding more likely.
Bathe aside from instructions: Wait till your stitches are taken out before going swimming.
Strain your abdominal muscles: Avoid stair-climbing and lifting heavy objects.
It is essential to start walking slowly to prevent the risk of blood clots and encourage the healing of the digestive system.
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