Laparoscopic Appendectomy

A laparoscopic appendectomy is a minimally invasive surgical procedure performed to remove an inflamed or infected appendix, often due to appendicitis. This technique, which has largely replaced open surgery for appendectomies in many cases, involves smaller incisions, quicker recovery times, and reduced post-operative pain, making it the preferred choice for many surgeons and patients.

Post-surgery, patients are typically advised to avoid strenuous activities and heavy lifting for a few weeks. Walking and light activities are encouraged to promote circulation, prevent blood clots, and aid digestion. Pain and discomfort are usually manageable with over-the-counter medications or mild prescription painkillers.

Procedure

  • Preparation and Anesthesia: The patient is placed under general anesthesia to ensure they remain unconscious and pain-free during the procedure.
  • Incision and Insertion of Trocar: The surgeon makes a few small incisions, typically 0.5 to 1 cm long, in the abdominal area. Through these incisions, trocars (small, tube-like instruments) are inserted. Carbon dioxide gas is used to inflate the abdomen slightly, creating space to operate and allowing the surgeon a clear view.
  • Use of Laparoscope: A laparoscope, which is a thin tube with a light and camera, is inserted through one of the trocars. This device projects live video onto a monitor, giving the surgeon a clear view of the appendix and surrounding structures.
  • Appendix Removal: Specialized instruments are inserted through the other incisions to grasp, cut, and remove the appendix. The blood vessels supplying the appendix are carefully sealed or tied off to prevent bleeding. Once detached, the appendix is removed through one of the incisions.
  • Closure: After the appendix is removed, the surgeon checks for any bleeding or abnormalities. The carbon dioxide is released from the abdomen, and the small incisions are closed with sutures, staples, or surgical tape.

Benefits

Many people with gallstones do not experience symptoms. When symptoms do appear, they may include:
Intense pain in the upper right or center of the abdomen, especially after eating fatty foods Nausea and vomiting
Jaundice (yellowing of the skin and eyes) Fever and chills if infection occurs