What is an appendectomy? An overview
The procedure to remove the appendix has involved almost everyone in the past: today appendectomy is a procedure of choice in only a few cases
In general, when it is possible today, it is preferred to have the organ flared and not to remove it surgically.
But an inflamed appendix can rupture, so the operation is sometimes considered a medical emergency.
What is the appendix?
Your appendix is a small tubular sac that protrudes from the bottom of your colon, like a little tail.
It is about the length of your index finger.
It is located on the lower right side of your abdomen.
Why is appendicitis an emergency?
Because it is so small, your appendix swells quickly with inflammation and does not take long to burst.
A burst appendix can spread infectious agents throughout the abdominal cavity, leading to peritonitis (inflammation of the abdominal lining).
If the infection spreads into the bloodstream, it can lead to sepsis, a serious systemic disease. Sepsis can be life-threatening.
Your appendix can rupture within 36 hours of the first symptoms of appendicitis, so when seeking treatment, time is of the essence.
Why is the appendix removed?
In most cases, appendectomy is considered the safest treatment for appendicitis.
But a fairly recent school of thought tends to have the organ blown out, avoiding surgery if it is deemed unnecessary.
Schools of thought in medicine are as old as the ars medica itself.
Is appendectomy painful?
During the operation you will sleep under general anaesthesia.
Afterwards, you will probably feel moderate pain at the site of the incision(s).
This should improve within a few days.
Your doctor may prescribe appropriate pain medication to help you manage during your recovery.
Many people do well without prescription painkillers, but you can use them for a few days.
What are the side effects of appendix removal?
You may experience some side effects of the surgery over the next few days.
Common side effects include:
- Nausea.
- Constipation.
- Gas pain after laparoscopy. This may extend to the chest and shoulders.
- Abdominal bloating. This will decrease over the next few weeks.
What are the possible complications of appendectomy?
Complications are rare, but possible.
They include:
- Bleeding.
- Infection of the wound.
- Blocked intestines.
- Injury to nearby organs.
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