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Appendicitis – Means inflammation of appendix. Appendix is a small organ in right lower part of tummy attached to the starting point of large intestine (caecum). It seems to serve no function in humans and is a kind of vestigial organ (organ which is not fully developed in humans as opposed to some animals).

This surgery is usually performed to treat infected appendix.
If not done at appropriate time, the appendix can get deprived of its blood supply and form pus inside.
Simple infection can turn into life-threatening complication in no time, so early examination by a doctor is crucial.

Common symptoms of appendicitis are –

Pain in the right lower abdomen (Can start near navel and shift or spread later)
Nausea or vomiting
Loss of appetite
Fever – may be low grade initially and may get worsen later.
But all these symptoms may not be present and others may be present. Hence examination by your doctor is very crucial to diagnose or rule-out appendicitis.
It usually occurs in teenage but no age is immune. Chances of complications are higher is very young children & elderly.
In pregnant patients, pain may be felt higher as appendix may shift to a higher position as pregnancy advances.
Since appendix is a relatively mobile organ, location of pain may vary depending upon its position in a given person.

Causes –

Exact cause can not be found in most cases but usual underlying cause is blockage of lumen of appendix which causes infection by bacteria. Pressure inside appendix increases and it begins to swell leading to pain. If not treated on time, pus can form inside appendix and later appendix may rupture leading to spread of pus.

Treatment –

Once the diagnosis of appendicitis is confirmed, surgery is generally recommended. Once appendix has been removed, you can not have same problem again as the organ will be removed during surgery.
Open Surgery – Involves about 5 to 7 cm incision in right lower abdomen to remove appendix.
Laparoscopic or Key Hole Surgery – Usually involves three very small cuts, one for camera and two for instruments used to perform the surgery. Size of the cuts vary from 0.5 cm to maximum of 1 cm. Usually two are of just 0.5 cm and one is of 1 cm. In kids, all can be 0.5 cm. In mini-laparoscopic surgery, some cuts can be further reduced to 0.23 cod

Advantages of Laparoscopic Appendicectomy over Open Surgery –

Smaller incision (cut) and scar.
Better visualization of inside abdomen so as to diagnose any other pathology.
Less chances of infection of wound (cut from where appendix is removed)
Lesser pain, quicker recovery and discharge from hospital.
Much better cosmetic result.

Complications –

Pus formation – Pus may form inside the appendix and later may rupture appendix and leak to surrounding area. It may remain close to appendix only and will require surgery to remove pus. Surrounding organs like small and large intestine etc. get stuck with this.
Peritonitis – Rupture of appendix may lead to generalised infection of abdomen known as peritonitis.

Diagnosis –

Examination by doctor – After taking appropriate history, Surgeon will examine abdomen of patient to look for signs of appendicitis like pain on pressing right lower abdomen etc.
Blood Tests – It may show signs of infection like high leukocyte count etc.
Urine Test – Pain of appendicitis can be similar to pain due to stone in right kidney or ureter, so urine test may help in finding our if you have a urinary stone problem.
Ultrasound of abdomen – It may show appendicitis or may pick up other reasons for pain like a stone, cyst etc. But it may not be possible to see inflamed appendix on ultrasound in all patients and there may be indirect sign of appendicitis.
CT scan of abdomen – CT scan is considered to be better than ultrasound in diagnosing appendicitis and is done in doubtful cases.

Why choose us?

Dr. Jasmeet Singh Ahuwalia (MS, FNB-MAS, FBMS) is a super-specialist in the field of Laparoscopic Surgery (key – hole surgery). He now performs all routine and complex abdomen surgeries with key-hole method in his well equipped centre. Even in badly infected appendix, experience and equipment allows us to finish almost all surgeries laparoscopically without converting to open surgery.
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  Appendix Cancer