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An appendectomy is the removal of the appendix. The appendix is a small blind-ended tube that is attached to the large intestine.
An appendectomy is most often done as an emergency operation to treat appendicitis . Appendicitis is inflammation of the appendix. It can be caused by an infection or obstruction.
Complications are rare but no procedure is completely free of risk. If you are planning to have an appendectomy, your doctor will review a list of possible complications which may include:
Some risk factors that make complications more likely include:
Your doctor may do the following:
Antibiotics will be started right away. Since appendicitis is an emergency condition, surgery is almost always done right away.
General anesthesia will be used. You will be asleep with a temporary breathing tube in place.
A short incision will be made in the right lower abdomen. The doctor will be able to see the appendix through this cut. The appendix will be detached from surrounding tissue. The surgeon will stop any bleeding from blood vessels. The appendix will then be tied off and cut out. The incisions will then be closed with stitches or staples.
If the appendix has ruptured, a warm water solution mixed with antibiotics will be used to wash out the inside of the abdomen. A catheter (tube) will then be placed to drain any fluid that builds up. Sometimes, with a rupture, the surgeon will only close the muscle layers and leave the skin open. The open skin wound will then be packed with a moist gauze dressing.
The removed tissue is examined by a pathologist.
1-2 hours
Anesthesia prevents pain during surgery. You may be given medicine to manage any pain.
You may be in the hospital for 0-3 days. If the appendix has ruptured, expect to stay for several days or more than a week.
Recovery takes about 4-6 weeks. When you return home, do the following to help ensure a smooth recovery:
After you leave the hospital, contact your doctor if any of the following occurs:
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.
Last reviewed October 2009 by Igor Puzanov, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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