Appendicectomy is one of the most commonly performed surgeries in the world. Appendix is a small wormlike outpouching from the caecum which when inflamed or infected results in symptoms of appendicitis.
Symptoms: Most commonly patients have anorexia, nausea, vomiting, periumbilical pain which later shifts to right lower abdomen, fever etc.
Indications for surgery: If not contraindicated , all patients must undergo surgery to prevent rupture of the appendix and spread of peritonitis.
Presence of appendicular lump: requires conservative management and interval appendicectomy after a few weeks
Pregnancy first trimester
Complications: Are seen more commonly in elderly and very young patients.
2. Surgical site wound infection: especially in case of gangrenous or perforated appendix
3.Intra-abdominal abscess: especially in case of gangrenous or perforated appendix
7.stump appendicitis: if a long stump is left behind
Advantages of laparoscopy:
Shorter length of stay
Earlier return of bowel function
Earlier return to routine activity
Lesser incidence of wound infections