Laparoscopic Appendectomy

What Is Laparoscopic Appendectomy ?

It is the name given to the surgery in which the appendix is removed due to appendicitis or inflammation of the appendix. The appendix removal operation is required on an emergency basis as leaving it untreated could lead to the rupture of the appendix, which can cause a fatal infection. The surgery usually takes an hour to perform. It is usually performed under general anesthesia. If the appendix has not burst, the patient may be discharged within a span of 24 -36 hours but if there is rupturing, then the infection treatment may take 5-7 days to heal.

CONTENTS

Laparoscopic Appendectomy

The appendix is an organ which is situated just below the (on the right side of the stomach). It is narrow and has a shape similar to a finger. The appendix is connected to the large intestine but it does not perform any function in human beings. Appendectomy is the name given to the surgery of appendix removal if it becomes inflamed. If an inflamed appendix is not removed, it will lead to rupture of the appendix which could result in an infection called peritonitis in the abdominal area. Laparoscopic Appendectomy is the process of removal of the appendix using a laparoscope. The surgery involves the use of many small incisions instead of a single big one. As compared to the open surgery, it takes lesser healing time and less trauma is faced by the patient.

PREPARATION FOR THE SURGERY

Most cases are emergency situations and the patient might get the surgery done in a span of a few hours. Prior to the surgery, the child is given antibiotics. The doctor gives the anesthesia depending upon the health of the child and the last meal that he ate. It is highly likely that the child might have had something to eat just a few hours ago. The dose of anesthesia is given accordingly as any carelessness might lead to vomiting of a patient during the surgery. The child is not permitted to eat or drink anything after being admitted until the surgery is done.

PRE-SURGICAL PROCEDURES

  • The parent or the guardian needs to sign the consent form for the administration of anesthesia.
  • In case the child is upset, the doctor may administer medicine to make him relaxed.
  • Some doctors allow the parent to accompany the child to the surgery room.
  • A young child may be sedated through the use of a space mask which contains air mixed with medication. The shots may be given after the child drifts into sleep.
  • Older children may get a choice between the mask and intravenous line.
  • After the child is put to sleep, the surgery is started.

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THE SURGERY

  • The surgeon makes 2-3 small incisions near the belly button of the child, above the pubic area.
  • The surgeon inserts the laparoscope through an incision to view the appendix.
  • He inserts a tube and fills the abdominal space with carbon dioxide to inflate the abdomen.
  • He then inserts surgical instruments through one of the incisions.
  • The surgeon will find the appendix, clip it and disconnect it from the large intestine. He will remove the appendix through the incision.
  • In case the appendix has burst, the surgeon will clean the abdomen to rule out any chances of the infection spreading.
  • After cleaning, the air from the abdomen is released.
  • After the removal, the incisions will be closed with the help of sutures or self-dissolving stitches.
  • The incisions are covered with skin glue or adhesive strips. This area used for covering shallow cuts. The glue and the strips fall off as soon as the incision heals. In case the strips are used, the surgeon will cover them with gauze which will be removed after 48 hours.The child may experience infection or bleeding after the surgery.
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