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Practiced procedures


Treatment requires an operation is done to remove the infected appendix. It is traditional that the appendix is removed through an incision in the right lower abdominal wall.

In most laparoscopic appendectomies, surgeons operate through three small incisions (each measuring approx. Between 6 and 12.5 mm) while an enlarged image of the internal organs of the patient is observed on a television screen. In some cases, one of the small openings can be lengthened to 5 to 7.5 cm in order to complete the procedure.

Results may vary depending on the procedure used and the general condition of the patient. Common advantages are:

  • Minor postoperative pain
  • You can shorten hospital stay
  • May result in a quicker return of bowel function
  • Quicker return to normal activity
  • Better cosmetic results

About operation

Words appendectomy "laparoscopic" and "open" describes techniques a surgeon uses to access internal surgical field.

Mostly laparoscopic appendectomies start the same way. By using a cannula (a narrow tubular instrument), the surgeon accesses the abdomen. A laparoscope (a small telescope connected to a video camera) is inserted through a cannula, which gives the surgeon a magnified view of the patient's internal organs on a television screen. Several other cannulas are inserted to allow the surgeon to work in and remove the appendix. The entire procedure can be completed through the cannulas or by lengthening one of the small cannula incisions. A drain may be placed during the procedure. This will be removed before you leave the hospital.


Postoperative follow-up

Be sure to call your doctor or surgeon if you develop any of the following symptoms:

  • Fever above 101 º F (39 º C) which does not yield
  • bleeding
  • Abdominal swelling that is increasing
  • Pain that is not relieved by your medications
  • Nausea or vomiting
  • chills
  • Persistent cough or shortness of breath
  • Purulent drainage (pus) from any incision
  • Redness surrounding any of your incisions that worsening or getting bigger
  • Inability to eat or drink liquids

Operation Recovery

After the operation is important to follow your doctor's instructions. While some people feel better after a few days, remember that your body needs time to heal.

You are encouraged to get out of bed the day after surgery and to walk. This will help decrease your muscle aches and also the risk of blood clots in the legs.

You may be able to resume most normal activities within a week or two. Such activities include showering, driving, walking up stairs, work and sex.

If your pain continues or if no relief prescription painkillers, should inform your surgeon.

Call and ask a doctor turn control before completing the operation after two weeks.


Preparations for the operation

Although laparoscopic appendectomy has many benefits, it may not be appropriate for some patients. A non-perforated appendicitis is diagnosed early usually can be removed laparoscopically. Laparoscopic appendectomy is more difficult to perform if there is severe or if the appendix has perforated infection. It is possible that in these patients is necessary to perform a procedure open pit in which to more safely remove the infected appendix incision used.

Your surgeon will ask you to sign a consent form. This confirms that you understand the risks, benefits, alternatives to the procedure and have given your permission for it to go ahead.

What are the risks?

As with any operation, there are risks which include the risk of complications. However, the risk of occurrence of these complications is no greater than if the operation was done with the open technique.

  • bleeding
  • infection
  • Removal of a normal appendix
  • A loss over the colon where the appendix was removed
  • Injury to adjacent organs such as the small intestine, ureter, or bladder.
  • A blood clot to the lungs

It is important to recognize the early signs of possible complications. Contact your surgeon if you notice severe abdominal pain, fever, chills, or rectal bleeding.

de Cirugía
Colegio Mexicano de Cirugía de la Obesidad y Enfermedades Metabólicas Colegio Mexicano
de Cirugía de la Obesidad
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