Appendectomy is traditionally performed through a small right lower quadrant muscle splitting incision.
Gynecologic laparoscopicsis first began performing laparoscopic appendectomy as an incidental procedure. Identification, mobilization and removal of a noniflemed appendix is reading accomplished.
Conceptually, the operation of appendectomy can divide into several steps. First, exposure most be obtained and the diagnosis confirmed. During open appendectomy, exposure is obtained via a small incision and visualization of the abdominal caring is limited. The laparoscopic approach allows easy visualization of all quadrants of the abdomen and hence may be especially useful when the diagnosis of acute appendicitis is in doubt. A classic case in which this might be useful would be the young woman with right lower quadrant pain.
Procedure
As surgeon became familiar with laparoscopic techniques, the use of laparoscopy for diagnosis of right quadrant pain became a natural application of the technique.
Having confirmed that acute appendicitis is present, the next step in the procedure is to remove the appendix. During open surgery, this is accomplished by mobilizing one appendix and base of cecum up into the wound so that the mesentery and base of the appendix can be secured.
During laparoscopic appendectomy, the appendix is mobilized with a traumatic graspers. Generally the base of the appendix is divided before the mesentery.
The final step is to irrigate, recheck hemeostasis and close. Most surgeons who perform laparoscopic appendectomy utilize it selectively.
Complicated perforated appendicitis may be best handled open.
Post operative units
As the anesthetic wear off, there is likely to be some pain. The anesthetist will prescribe pain killers. Suffering from pain can slow down recovery, so it important to discuss any pain with the doctors or nurse.
A physiotherapist may visit to discuss gentle exercise to do at home, these will help speed up recovery.