2024-01-01 · general, gi, surgery

Appendectomy Surgery FAQ

What Is an Appendectomy?

An appendectomy is the surgical removal of the appendix, a small pouch attached to the large intestine. It is most often performed to treat appendicitis, an inflamed or infected appendix that can rupture if not removed promptly. Surgery may be done laparoscopically through small incisions or as an open procedure in more complex cases.

What Causes Appendicitis?

Appendicitis usually happens when the appendix becomes blocked and inflamed. Common causes include:

• A buildup of stool or mucus in the appendix
• Enlarged lymph tissue from infection
• Intestinal parasites or foreign material
• Inflammation that leads to swelling and reduced blood flow

What Are the Symptoms of Appendicitis?

Symptoms often start near the belly button and move to the lower right abdomen. Common symptoms include:

• Sharp or worsening abdominal pain
• Loss of appetite
• Nausea or vomiting
• Low-grade fever
• Abdominal swelling or tenderness

Seek urgent medical care if appendicitis is suspected.

About the Appendectomy Procedure

Appendectomy is performed under general anesthesia and typically takes 30 to 90 minutes. For laparoscopic surgery, the surgeon makes a few small incisions, inserts a camera, and removes the appendix. An open appendectomy uses one larger incision and may be chosen if the appendix has ruptured or there is widespread infection.

What Happens After Appendectomy?

Most patients go home the same day or after an overnight stay. Pain is usually mild to moderate, and walking is encouraged soon after surgery. If the appendix ruptured, hospital stays may be longer to manage infection.

How Long Does Recovery Take After Appendectomy?

Recovery depends on the surgical approach:

• Laparoscopic: return to light activity in about a week
• Open or ruptured appendix: recovery may take 2 to 4 weeks or longer

Your surgeon will provide activity guidelines based on healing.

What Are the Possible Complications?

Potential complications include:

• Infection or abscess
• Bleeding
• Blood clots
• Bowel obstruction or ileus
• Wound healing problems

Complications are less common with timely surgery and proper aftercare.

When Should I Contact a Doctor?

Call your care team if you have fever, worsening pain, redness or drainage from incisions, persistent vomiting, or abdominal swelling. These can be signs of infection or other complications.