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Last Updated: Jul 23, 2019
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Comparison Of Open Versus Laparoscopic Appendectomy!

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Dr. Puneet GuptaGeneral Surgeon • 27 Years Exp.MBBS, MS - General Surgery, Fellowship In Minimal Access Surgery, DNB - General Surgery, Fellowship In Surgical Gastroenterology
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Generally performed as emergency surgery, an appendicectomy is performed to remove an infected or inflamed appendix. The most common question asked before such a procedure is whether removal of the appendix will cause problems in future. However, this tiny tube-like structure which is attached to the large intestine and is said to help you recover from diarrhoea or inflammations of the small or large intestines; its removal will not change how you recover from such infections either.

  1. Conventional surgery: A conventional surgery generally requires the surgeon to make a small incision in the lower right side of your abdomen and remove the infected appendix. Such a procedure also allows the surgeon to clean abdominal cavity in case the appendix has ruptured. This method of surgery is also chosen when the patient has had abdominal surgery in the past.
  2. Laparoscopic surgery: This is a much more modern method to surgically remove an infected appendix. The surgeon makes a small incision just enough to fit a small tube called a cannula. The abdominal cavity is filled with carbon dioxide and a laparoscope is guided through to see the area clearly. The surgeon then proceeds to tie up the appendix and remove it completely. The incisions on the body are closed, cleaned and dressed.

Reasons why a laparoscopic procedure is better for you:

  1. The biggest advantage is cosmetic as there is a far smaller incision in laparoscopic procedures as compared to the conventional surgery where the incision is sealed with stitches and the scar may be permanent.
  2. In fact, some very good and experienced laparoscopic surgeons are able to hide even these small incisions behind the pubic hairline make it almost invisible to the naked eye.
  3. Thanks to technology, the size of the instruments and the cameras used are getting better with time. It is the use of such small instruments that allows you to have an almost painless and scarless recovery.
  4. Another major advantage in undertaking such a procedure is fewer post-operative complications that are seen in such surgeries. Generally, in the traditional surgery, patients are kept under observation due to redness around the incision, a high-grade fever, stomach cramps, vomiting, chills or any other symptoms. These complications or symptoms can be greatly avoided with the laparoscopic procedure.
  5. Most people would always prefer a shorter hospitalization and it is possible with the laparoscopic procedure as the recovery is quicker and you can get back to work within a few days.

Considering the fact that such a surgery is typically performed in an emergency and a laparoscopic surgery offers a much better chance of quick and easy recovery, this is the best option for an appendicectomy.

In case you have a concern or query you can always consult a specialist & get answers to your questions!
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