Getting to Know Appendicitis Surgery Closer

Appendectomy is a procedure to remove the inflamed appendix. This operation can be performed using laparoscopic or open surgical techniques, depending on the patient's condition.

An appendectomy or appendectomy must be performed immediately if appendicitis occurs suddenly (acute). If it is not removed or surgery is not carried out, this condition can cause the appendix to rupture, which can have fatal consequences.

Appendectomy can be performed using two techniques, namely:

Open appendectomy

An open technique for appendectomy is performed by making an incision 5–10 cm long in the lower right part of the abdomen. Through this incision, the doctor will remove the appendix, then stitch up the incision.

Open surgery is generally performed if the appendix has ruptured and the infection has spread. This procedure is also a common method recommended by doctors for patients who have undergone surgery in the abdominal area.

Laparoscopic appendectomy

Laparoscopic appendectomyThis is done by making 1-3 small incisions in the lower right part of the stomach. After that, a laparoscope will be inserted into the incision hole to remove the appendix. A laparoscope is a long, thin tube equipped with a camera and surgical tools.

Compared to open surgery, surgery using the laparoscopic technique causes less pain and scars.

Purpose and Indications for Appendectomy

An appendectomy can be performed to treat inflammation of the appendix (appendistis) that does not improve with medication.

The main symptom of appendicitis is pain in the stomach that starts from the navel, then spreads to the lower right part of the stomach. Pain can get worse, especially when the sufferer moves, takes a deep breath, coughs or sneezes.

Appendicitis sufferers can also experience the following symptoms:

• Bloated
• Nausea or vomiting
• Loss of appetite
• Diarrhea or even constipation
• Fever
• Difficulty farting

Before Appendectomy

Before starting an appendectomy, the doctor will explain things related to appendectomy and the risks. If the patient agrees, the doctor will perform a physical examination, blood tests and scans.

Patients are advised to inform their doctor about the following things before undergoing appendectomy:

• Is pregnant
• Have an allergy to latex or anesthetics
• Using medications, including herbal products or supplements
• Suffering from blood disorders

Patients will be asked to fast 6–8 hours before surgery.

After Appendectomy

After appendectomy, the patient will be transferred to the recovery room so that his condition is always monitored. The doctor will check the patient's vital signs, such as heart rate, pulse and blood pressure, periodically.

Patients will also be given pain medication, either in drinking or injectable form. If necessary, the doctor will insert a tube through the nose to remove fluid or gas that may enter the stomach during surgery.

After surgery, patients are allowed to drink water or consume solid food gradually.

Patients who undergo surgery using a laparoscopic technique are allowed to sit several hours after surgery, while patients who undergo open surgery can sit or walk again the next day.

Patients can generally go home 1–2 days after being admitted to hospital. However, it is recommended not to work or drive until 2-4 weeks after undergoing appendectomy.

To help the recovery process, there are several ways that patients can do, namely:

• Keep the suture wound clean and dry, to prevent infection from occurring
• Take pain medication as prescribed by your doctor
• Avoid strenuous activities or do not exercise

The recovery process after appendectomy generally lasts 2–6 weeks. During the recovery period, the doctor will schedule routine examinations for the patient.

Complications of Appendectomy

Appendectomy is a safe procedure. However, this operation can still cause complications, including:

• Bleeding
• The surgical wound becomes infected or reopens
• Instential blockage
• Injury to other organs
• Inflammation or infection of the inside of the stomach if the appendix ruptures during surgery

See a doctor immediately if after undergoing appendectomy you experience the following symptoms:

• Fever or chills
• Redness, swelling, or smelly discharge from the surgical incision wound
• Continuous pain in the surgical wound
• Vomit
• Loss of appetite, or even inability to eat and drink
• Persistent cough or shortness of breath
• Pain, cramps, or swelling in the stomach
• Constipation or even diarrhea for 3 days or more.