Appendicitis and appendectomy procedure at Cook Children’s
What Is an Appendectomy? Surgery and Recovery
Surgery Options: Open vs. Laparoscopic Appendectomy
There are two types of appendectomy procedures: open andlaparoscopic
During an open appendectomy, your surgeon will make a single, two- to four-inch-long incision in the lower right side of your abdomen and then cut through your fat and muscles to reach your appendix. Your surgeon will tie off your appendix from your large intestine, cut your appendix out, then wash the area with sterile fluid and close the incision.
Laparoscopic appendectomy, on the other hand, is a bit more complicated. It begins with three small (less than an inch long) incisions in the abdomen. (5) In one slit, your surgeon will insert a nozzle to inflate the abdomen with carbon dioxide gas, allowing your appendix to be seen more easily.
In a second incision, your surgeon will insert a laparoscope, a thin tube with a light and camera that displays your abdomen on a video monitor. Your surgeon will then use surgical instruments to remove your appendix through the third incision, using the video monitor to guide the way. Again, the procedure ends with washing the area and closing the incisions. (1)
If, during a laparoscopic appendectomy, your surgeon discovers that you have aruptured appendixperitonitis (an infection of the membrane lining the abdomen), a switch to an open surgery may be required. (1)
The laparoscopic procedure usually results in a shorter hospital stay, less pain, earlier recovery, and fewer complications, such as surgical infections.As a report published in April 2019 in theWorld Journal of Emergency Surgerynotes, most surgeons worldwide opt for the laparoscopic approach over open surgery in the treatment of both simple and complicated acute appendicitis. But it’s not yet unanimously considered the “gold standard,” because operating time takes longer, there’s increased intra-abdominal abscess risk, and it costs more than an open appendectomy.
Video: Got My Appendix Removed! How Long Until I'm Better After An Appendectomy?!
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