Appendix is a small worm like structure attached to the cecum.

The beginning of the colon, on the lower right side of abdomen. During first few years of life, appendix functions as part of the immune system, but after that it does not have any known function. Sudden inflammation of appendix is known as Appendicitis- and if you are able to recognize its symptoms, you can prevent serious appendicitis complications from occurring. The most serious complication of appendicitis is an infection of the lining of your abdominal cavity (peritonitis). This may occur if your appendix ruptures (perforates) and the contents of your intestines and infectious organisms invade the peritoneal cavity. Peritonitis is a medical emergency requiring immediate appendix treatment via surgery.

Symptoms of Appendix :

Abdominal pain - pain may begin around the belly button and then get localized in right lower abdomen
Nausea
Vomiting
Abdominal pain may be worse when walking or coughing
Loss of appetite
Fever usually occurs within several hours
Constipation
Rectal tenderness
Chills and rigors

Advantages Of Laparoscopic Appendix :

The main advantages are :

Less post-operative pain
Faster recovery
Short hospital stay
Less post-operative complications like wound infection and adhesion

In K K Hospital all types of surgeries done with patient care. The surgical techniques are superiorly used to satisfy patients need. K K Hospital is easily approached from Kharadi, Chandan nagar, Wadgaon sheri, Mundhwa, Keshav nagar, Manjri, Wagholi, Logegaon, Sant nagar, Viman nagar.

What are the treatment options available for appendicitis ?

Laparoscopic method - The appendix is removed with instruments placed into small abdominal incisions.

Procedure :

After administering anesthesia the abdomen is prepared with an antibacterial solution.
The peritoneal cavity is inflated with gas (usually carbon dioxide).
The appendix surgery begins with a small abdominal incision below to the belly button in the skin crease, which allows the insertion of the laparoscope. Another two or three small incisions may be necessary to insert the laparoscopic instruments to dissect and remove the appendix.
Using the laparoscopic surgical tools, the tissues and vessels surrounding the appendix are cut and tied.
The appendix is put in a plastic bag before being removed through the small incision to prevent infection of wound.
The abdominal cuts are all closed with clips, which are likely to leave insignificant scars.
The removed appendix is sent to a pathology lab for biopsy.

FAQ :

- What is the cause of appendicitis ?

80% of cases of acute appendicitis are caused due to obstruction of lumpen of appendix. The reason of obstruction could be a faecolith (i.e. hard fecal matter), worms if present in the intestines and rarely a foreign body like seeds.

- How is a diagnosis of acute appendicitis made ?

The clinical signs and symptoms as mentioned above, are the most important indications for reaching a diagnosis. In addition, raised total blood count confirms the diagnosis. Acute appendicitis is the commonest abdominal emergency and requires surgery.

- Any special tests required ?

An abdomen ultrasound and clinical examination generally sufficient.In some cases CT scan abdomen is needed.

- What are the complications of acute appendicitis ?

Gangrene and rupture of appendix cause generalized abdominal infection, Intra Abdominal Abscess (collection of pus) and Septicemia (generalized, severe infection in blood) leading to catastrophic life threatening consequences.

- Are there any side-effects after removal of appendix ?

There are no side-effects as it has no definite function in the human body.

- Which is a better procedure - open or laparoscopic ?

Laparoscopy has the advantage of lesser post operative pain, early recovery, good cosmetic results as well as the chance to rule out any other pathology present in the same surgical sitting. This is a method of choice in well equipped institutes having a trained surgical team.In complicated cases and appendicular perforation open surgery is preferred, as it is surgical emergency

- Can food habit cause of appendicitis ?

Junk food, less fiber food caused constipation and formation of hard stool matters that can impact on appendix lumen and start appendicitis. So one can say chronic constipation is risk factor for appendicitis.

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Appendix