Appendix removal; Surgery - appendectomy; Appendicitis - appendectomy
An appendectomy is surgery to remove the appendix.
Appendectomy, the removal of the small pouch attached to the beginning of your large intestine when you have an acute bout of appendicitis is one of the most common emergency abdominal surgeries. The appendix is a small, finger-shaped organ that comes out of the first part of the large intestine. It needs to be removed when it becomes swollen or infected. If the appendix is not removed, it can leak bacteria and infect your entire belly, which can be very life threatening. So, what are the signs that you have appendicitis? Well, this condition can be fairly hard to diagnose, especially in children, older people, and women of childbearing age. Usually, the first symptom is pain around your belly button. The pain might be mild at first, but then it gets sharp and severe before not too long. The pain may then move into your right lower abdomen. You may also have diarrhea, fever, nausea, and a reduced appetite. Sometimes, people think that they might be having food poisoning. Your doctor will make a diagnosis based on your symptoms. You may also have blood tests and a CT scan or ultrasound. Once it's clear that you have appendicitis, your doctor will probably schedule you for emergency surgery. In surgery, you will receive anesthesia and be asleep and pain free. The doctor will make a small cut in the lower right side of your belly and remove your appendix. If the surgeon uses the laparoscopic technique, you will have several small cuts in your abdomen for the surgical instruments. If your appendix broke open, or a pocket of infection has formed, your doctor will wash out your belly during the surgery. A small tube may remain to help drain out fluids or pus. Once you've had an appendectomy, you will probably recover pretty quickly. It feels good to get a bad appendix out. Most patients leave the hospital 1 to 2 days after surgery. The good news is that you'll be able to go back to all those normal activities within 2 to 4 weeks.
The appendix is a small, finger-shaped organ that branches off from the first part of the large intestine. When it becomes swollen (inflamed) or infected, the condition is called appendicitis. When you have appendicitis, your appendix may need to be removed. An appendix that has a hole in it can leak and infect the entire abdomen area. This can be life threatening.
Appendectomy is done using either:
- Spinal anesthesia -- Medicine is put into your back to make you numb below your waist. You will also get medicine to make you sleepy.
- General anesthesia -- You will be asleep and not feel any pain during the surgery.
The surgeon makes a small cut in the lower right side of your belly area and removes the appendix.
The appendix can also be removed using small surgical cuts and a camera. This is called a laparoscopic appendectomy.
If the appendix broke open or a pocket of infection (abscess) formed, your abdomen will be washed out during surgery. A small tube may be left in the belly area to help drain out fluids or pus.
Why the Procedure Is Performed
An appendectomy is done for appendicitis. The condition can be hard to diagnose, especially in children, older people, and women of childbearing age.
Most often, the first symptom is pain around your belly button:
- The pain may be mild at first, but it becomes sharp and severe.
- The pain often moves into your right lower abdomen and becomes more focused in this area.
Other symptoms include:
- Diarrhea or constipation
- Fever (usually not very high)
- Nausea and vomiting
- Reduced appetite
If you have symptoms of appendicitis, seek medical help right away. DO NOT use heating pads, enemas, laxatives, or other home treatments to try to relieve symptoms.
Your health care provider will examine your abdomen and rectum. Other tests may be done:
- Blood tests, including a white blood cell count (WBC), may be done to check for infection.
- When the diagnosis is not clear, the doctor may order a CT scan or ultrasound to make sure the appendix is the cause of the problem.
There are no actual tests to confirm that you have appendicitis. Other illnesses can cause the same or similar symptoms.
The goal is to remove an infected appendix before it breaks open (ruptures). After reviewing your symptoms and the results of the physical exam and medical tests, your surgeon will decide whether you need surgery.
Risks of anesthesia and surgery in general include:
- Reactions to medicines
- Problems breathing
- Bleeding, blood clots, or infection
Risks of an appendectomy after a ruptured appendix include:
- Buildup of pus, which may need draining and antibiotics
- Longer hospital stays
After the Procedure
Most people leave the hospital in 1 to 2 days after surgery. You can go back to your normal activities within 2 to 4 weeks after leaving the hospital.
If you had laparoscopic surgery, you will likely recover quickly. Recovery is slower and more complicated if your appendix has broken open or an abscess has formed.
Living without an appendix causes no known health problems.
Richmond B. The appendix. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 50.
Sarosi GA. Appendicitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 120.
Last reviewed on: 1/7/2018
Reviewed by: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.