The vermicular appendix is an 8- to 9-cm diverticulum of the cecum. Inflammation of the appendix (appendicitis) is one of the most common diseases that causes abdominal pain and requires surgical treatment.
A surgical procedure to remove the appendix (appendectomy) is performed when acute or chronic inflammation or benign tumors of the appendix are diagnosed.
How Is the Surgery Performed?
A surgical procedure performed by employing a minimally invasive laparoscopic approach allows patients to resume daily routine activities sooner, shortens recovery time, and reduces the risk of postoperative wound complications as compared with open (laparotomic) procedures. This surgical technique is recommended for patients with overweight and those in whom the diagnosis of appendicitis is unclear.
The procedure is performed under general anesthesia. A small incision at the belly button is placed, and a tiny laparoscopic video camera (laparoscope) is inserted through this incision. To introduce and manipulate surgical instruments, a few small additional incisions are placed. The abdominal cavity is inflated with CO2 gas, which creates a working space for a surgeon. The surgeon performs all surgical manipulations while watching them on a video screen. The surgeon locates the appendix, separates it from the attachment to the cecum, and removes it. If necessary, a drain is inserted and left to drain out fluids.
What Should Be Known After Surgery?
- The surgical wound should be redressed every second day, and the sutures are removed after 7-10 days;
- The surgical incisions should be kept dry for 5 days after the operation;
- Routine daily activities can be resumed within 1-2 weeks;
- During the first days after the operation, the patient can suffer from nausea, abdominal pain, or abdominal bloating.