The procedure is performed to remove the appendix when it is infected that causes abdominal pain, usually in the region of the belly button.

1.    The procedure is performed under general anesthesia so a complete physical examination is required before surgery. The patient may have to undergo blood tests and other diagnostics tests as well.

2.    The patient must avoid all food and water for at least six hours before the procedure.

3.    Certain medications may have to be discontinued before surgery, especially anticoagulants and blood thinners like aspirin. The patient should inform the doctor of all medications, supplements, and herbal supplements they are regularly taking.

4.    Inform the doctor of any allergies to medication, latex or anesthesia, and of any history of bleeding disorders.

5.    If the patient suspects that they might be pregnant, inform the doctor immediately.

In general, an appendectomy is performed as emergency surgery and requires a hospital stay. Procedures may vary depending on the patient’s condition and the doctor's practices. A perforated appendix can leak and infect the entire abdominal area, which can be life-threatening. If the appendix has ruptured or a pocket of infection (abscess) has formed, the patient’s abdomen will be thoroughly washed out during surgery. A small tube may be left in the belly area to help drain out fluids or pus. Each case is accessed individually and managed accordingly.

An appendectomy is performed under general anesthesia. This requires an intravenous (IV) line and continuous monitoring of vital signs by the anesthesiologist. In the open method an incision will be made in the lower right portion of the abdomen. Once the appendix has been located it will be tied off with sutures and removed. If the appendix has ruptured the abdomen will be washed out with saline and a drainage tube may be placed to remove fluids or pus.

Patients tend to recover quickly after a simple appendectomy. Most patients leave the hospital one to three days after surgery and can resume normal activities within two to four weeks. Recovery is slower and more complicated if the appendix has ruptured or an abscess has formed.

As the procedure is performed under general anesthesia, there are risks associated with that. Other possible complications from the surgery include:

• Bleeding
• Infection
• A leak at the edge of the colon where the appendix was removed
• Injury to adjacent organs such as the small intestine, ureter, or bladder.
• Blood clot to the lungs

 
Call the Doctor
Consult the doctor immediately if the patient experiences any of the following:

• Persistent fever over 101 degrees Fahrenheit (39 degrees Celsius)
• Bleeding
• Increasing abdominal swelling
• Pain that is not relieved by medication
• Persistent nausea or vomiting
• Chills
• Persistent cough or shortness of breath
• Purulent drainage (pus) from any incision
• Redness surrounding any of the incisions that is worsening or getting bigger
• Inability to eat or drink

·        If you are taking any blood-thinning medication/anticoagulant, please let your doctor know as some may need to be stopped before you travel for the procedure.

·        Travelers to Thailand should plan to stay in the country for at least one week or for the entire duration of treatment.

·        If you plan to return home after the procedure, please speak to your doctor before making travel arrangements.

·        During your follow-up appointment your medical team will assess your health and your incision and you will receive documents detailing your medical and treatment history and your "Fit to Fly" certificate (if needed).

The success of the procedure depends on a number of factors such as the patient’s condition, post-procedure care. Please discuss the likelihood of success with your doctor before the procedure.

 

What if this procedure is not performed?

If an appendectomy is not performed quickly, the appendix could burst and spread infection throughout the body and into the bloodstream and abdomen, which can be life-threatening.

Laparoscopic Appendectomy