Appendectomy—Laparoscopic Surgery:
What is it?

Appendectomy—Laparoscopic Surgery:
How is it Used?


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Appendectomy—Laparoscopic Surgery Overview

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Definition

An appendectomy is the removal of the appendix. The appendix is a small, blind-ended tube that is attached to the large intestine.

What to Expect

#Prior to Procedure

Your doctor may do the following:

  • Physical exam
  • Blood and urine tests
  • X-rays —a test that uses radiation to take a picture of the inside of the body
  • Ultrasound —a test that uses sound waves to find the appendix and other organs
  • CT scan —a type of x-ray that uses a computer to make pictures of the inside of the body

Antibiotics will be started right away. Since appendicitis is an emergency condition, surgery is almost always done right away.

#Anesthesia

General anesthesia will be used. You will be asleep, with a temporary breathing tube in place.

#Description of the Procedure

Three small incisions will be made in your abdomen. A laparoscope (small tool with a camera on the end) will be passed through an incision. Gas will be blown into your abdomen to make it easier for the doctor to see. Other tools will be inserted into the incisions. The camera will send images of your insides to a video screen. The doctor will use these images to find and remove the appendix.

The appendix will be detached from surrounding tissue. The doctor will stop any bleeding from blood vessels. The appendix will then be tied off and cut out. A stapler will be used to cut the appendix out. The incisions will be closed with stitches or staples.

#After Procedure

The removed tissue is examined by a pathologist.

#How Long Will It Take?

1-2 hours

#How Much Will It Hurt?

Anesthesia prevents pain during surgery. You may be given medicine to manage any pain.

#Average Hospital Stay

You may go home on the same day, as long as there are no complications.

#Post-procedure Care

##At the Hospital

You will be asked to get out of bed about six hours after surgery.

##At Home

Recovery takes about 1-2 weeks.

When you return home, do the following to help ensure a smooth recovery:

  • You may resume your normal preoperative diet as soon as possible.
  • You may be given antibiotics to fight infection. Take all the medicines your doctor gives you, even if you start to feel better.
  • Keep the incision area clean and dry.
  • Wash your hands before changing the dressing.
  • Rest, and take it easy for 1-2 weeks.
  • Do not exercise or do heavy lifting for one or more weeks as directed by your doctor.
  • Gradually increase activities as approved by your doctor.
  • Be sure to follow your doctor's instructions .

References

#RESOURCES:

American College of Surgeons
http://www.facs.org/

National Digestive Diseases Information Clearinghouse
http://digestive.niddk.nih.gov/

#CANADIAN RESOURCES:

Canadian Association of Gastroenterology
http://www.cag-acg.org/

Canadian Family Physician
http://www.cfp.ca/

References:

American College of Surgeons website. Available at: http://www.facs.org . Accessed July 22, 2009.

Discharge instructions for an appendectomy. EBSCO Patient Education Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16topicID=1034 . Updated November 2008. Accessed July 22, 2009.

Schwartz S. Principles of Surgery. 7th ed. New York, NY: McGraw Hill; 2001.

Townsend C, Beauchamp DR, eds. Sabiston Textbook of Surgery. 16th ed. Philadelphia, PA: WB Saunders; 2001.

Townsend C, Beauchamp DR, eds. Sabiston Textbook of Surgery. 17th ed. Philadelphia, PA: WB Saunders; 2003.

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