Appendectomy is the removal of the appendix and the definitive treatment for acute appendicitis. It is performed chiefly laparoscopically, as an emergency, with rapid recovery when treated promptly.
What is an appendectomy?
It is the surgical removal of the appendix, a small pouch of the large bowel. It is the definitive treatment for acute appendicitis.
When is it needed?
It is indicated for acute appendicitis — inflammation presenting with pain that migrates to the right lower abdomen, fever and nausea. It is urgent to avoid perforation and peritonitis.
Preparation
As an emergency, it is preceded by rapid assessment (clinical, laboratory, CT where needed), intravenous fluids and antibiotics, and a brief pre-operative work-up.
How it's done
Under general anaesthesia, through small incisions, the appendix is divided at its base and removed. The abdomen is inspected and washed out where needed. In complicated cases (perforation, abscess) management is individualised.
Laparoscopic
The preferred technique: small incisions, less pain, faster return and better inspection of the abdomen.
Open
For advanced peritonitis or difficult cases, when it serves safety.
Complicated disease
For abscess/perforation: drainage, antibiotics and an individualised timing of surgery.
Recovery
In simple appendicitis, discharge is usually in 1–2 days and return to activities in 1–2 weeks. In complicated forms the timeline is longer.
Risks & outcomes
With prompt treatment, outcomes are very good. Possible complications: wound infection, intra-abdominal abscess or, more rarely, ileus — more common when perforation has occurred.
Frequently asked questions
Is it always an emergency?
Acute appendicitis is generally treated urgently, to avoid perforation. In selected uncomplicated cases initial non-operative treatment may be discussed, but surgery remains the definitive solution.
Laparoscopic or open?
Laparoscopic is the preferred approach in most cases. Open is chosen for advanced disease or safety reasons.
How quickly will I recover?
In the simple form, most go home in 1–2 days and return to activities within 1–2 weeks.
Are antibiotics needed?
Yes, given around the operation; in complicated forms they are extended according to the picture.