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Appendicitis Surgery in
Tiruchirappalli

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Amitabh Bachchan

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What Is an Appendix?

Appendix, meaning a thin tube-shaped organ, is a part of the digestive system. It is around four inches long and is attached to the large intestine. It is a vestigial organ and has no known functions. Sometimes, the appendix can get swollen due to various reasons, leading to a medical condition known as appendicitis.

What Are the Symptoms of Appendicitis?

Listed below are some of the common appendix symptoms- 1. Sudden and severe abdominal pain that starts around the navel and travels to the lower abdomen is the main symptoms of appendicitis. The pain worsens with time. Activities like walking, coughing, and sneezing can worsen the appendix pain. 2. There can be a sudden loss of appetite. 3. One of the signs of appendicitis include nausea, which sometimes may come with vomiting. 4. Some individuals with appendicitis may develop a mild fever. 5. Pressure on the lower right side of the abdomen can feel sore, tender, or painful. 6. There can be changes in bowel habits, diarrhoea, constipation, and difficulty in passing gas. 7. Appendicitis can cause pain in the rectum, in rare cases.

Who is at Risk?

    The benefits of appendectomy include: 1. Successful management of appendicitis by removing the appendix and eliminating the source of any infection and inflammation 2. Relief from stomach pain caused by appendicitis 3. Short hospital stay and quick recovery 4. Appendix removal ensures there are no chances of developing appendicitis again 5. Laparoscopic appendicitis surgery is minimally invasive, resulting in little to no to smaller postoperative discomfort and scarring However, it also comes with the following risks: 1. Like any surgery, appendicitis carries potential risks like infection, bleeding, and damage to nearby organs, blood vessels, and nerves. 2. Postoperative pain at the operation sites is common. 3. Open appendectomy involves a single, large incision, resulting in a more noticeable scar than the smaller incisions used in laparoscopic surgery. 4. Some individuals may experience allergic reactions to surgery medications or have anaesthesia-related complications. In rare cases, appendectomies can cause a residual abscess or a 'stump appendicitis' (inflammation of the remaining part of the appendix).

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What Causes Appendicitis?

    The following reasons might cause the appendix to get swollen and infected- 1. Hardened faecal matter (also known as fecaliths or appendix stones) might get stuck near the opening of the appendix, trapping the bacteria inside the organ and transmitting the bacteria it was carrying 2. Lymphoid hyperplasia, caused by swollen lymphoid tissue in the appendix 3. Cystic fibrosis, which results in a thick, sticky mucus buildup in the organs 4. Colitis, which is an inflammatory bowel disease 5. Parasites 6. Tumours

What Are the Eligibility Criteria for Getting an Appendectomy?

    Several factors contribute to a patient's eligibility for this procedure. Some of them are- 1. An appendicitis diagnosis is a must 2. Evaluation of of how severe the nature and symptoms of the appendicitis 3. Ruling out other health concerns that might cause similar symptoms 4. Stable cardiovascular and respiratory health is key to a successful appendix operation 5. Whether or not the patient can tolerate general anaesthesia Appendectomy Appendectomy is of two types - laparoscopic and open surgery. Laparoscopic appendectomy guarantees a quicker recovery and less postoperative pain as compared to open surgery. The choice between these appendicitis treatments depends on the patient's condition. Doctors must perform surgery within 36 hours of the diagnosis. Listed below is how the procedure is performed- 1. An IV line is inserted into the patient’s veins,as the first step to appendix treatment with the help of antibiotics. 2. Doctors might order extra assessments (blood tests, imaging tests, etc.) to learn more about the nature and signs of appendicitis. 3. Patients should not eat or drink for eight hours before the surgery. During this time, they receive fluids through the IV line. 4. At the beginning of the procedure, the patients are given general anaesthesia and muscle relaxants to reduce pain and discomfort. 5. During a laparoscopic appendectomy, the surgeon makes a small incision near the navel. Next, they insert a small port and, through it, a cannula (a small, tube-like device) to inflate the abdominal cavity using carbon dioxide. This creates enough space for surgery. Finally, they insert a laparoscope (a thin tube with lights and a camera) to view the insides of the organ during the appendix operation. 6. During an open appendectomy, the surgeon makes a large incision in the lower part of the abdomen. Next, they open the abdominal cavity, disinfect it with a saline solution, and separate its muscles to identify the appendix. 7. They stitch up the appendix, detach it from the intestines, and remove it. 8. Lastly, they close the surgical cuts using stitches.

How Long Does It Take to Recover After an Appendectomy?

    After a laparoscopic appendectomy, people can resume light activities in a matter of days, although complete recovery may take between 2-4 weeks. In the case of open appendectomies, it usually takes people 2-4 weeks before returning to regular activities. To ensure a smooth recovery, it is vital to follow all instructions provided by one’s healthcare provider.

What is the Success Rate of Appendectomies?

    The overall effectiveness of appendectomy in treating appendicitis is typically quite high. The majority of patients achieve a full recovery with symptom resolution and minimal complications. Nevertheless, the success rate can fluctuate depending on individual health factors, the existence of complications, and the chosen surgical approach. Timely diagnosis and prompt treatment significantly enhance the likelihood of positive outcomes.

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Frequently Asked Questions

Appendicitis is a disease caused by the inflammation of the appendix. Usually, an infection in the appendix causes this inflammation. Signs of appendicitis include abdominal pain, frequent urination, bloating, constipation, etc.

Obstructions, infections, enlarged lymphoid follicles, gastrointestinal infections, and tumours are some of the factors that can cause appendicitis.

The most important benefit of appendectomy is that it cures appendicitis. Additionally, the surgery reduces the spread of infections and prevents the chances of appendicitis occuring in the future.

Patients undergoing a laparoscopic appendectomy can engage in light activities within a week and completely recover in 2-4 weeks. Patients going through an open appendectomy have a similar recovery period; however, they must remain hospitalised for a couple of days after surgery.