Learn About Appendectomy

What is the definition of Appendectomy?

An appendectomy is surgery to remove the appendix.

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What are the alternative names for Appendectomy?

Appendix removal; Surgery - appendectomy; Appendicitis - appendectomy

What happens during a Appendectomy?

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.

Digestive system

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 would someone need a Appendectomy?

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 provider 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.

What are the risks?

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 (abscess), which may need draining and antibiotics
  • Infection of the incision
What to expect after a Appendectomy

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.

Anatomical landmarks adult - front
Appendectomy - series
Who are the top Appendectomy Local Doctors?
Elite
Highly rated in
4
conditions
General Surgery

Boston Medical Center

830 Harrison Ave 
Boston, MA 

Frederick Drake is a General Surgeon in Boston, Massachusetts. Drake has been practicing medicine for over 14 years and is rated as an Elite expert by MediFind in the treatment of Appendectomy. He is also highly rated in 4 other conditions, according to our data. His top areas of expertise are Appendicitis, Appendectomy, Gallbladder Adenocarcinoma, and Hyperparathyroidism. He is licensed to treat patients in Washington and Massachusetts. Drake is currently accepting new patients.

Elite
Highly rated in
12
conditions

University Of Turku

Department Of Surgery 
Turku, FI 

Paulina Salminen practices in Turku, Finland. Salminen is rated as an Elite expert by MediFind in the treatment of Appendectomy. She is also highly rated in 12 other conditions, according to our data. Her top areas of expertise are Appendectomy, Appendicitis, Viral Gastroenteritis, and Appendix Cancer.

 
 
 
 
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Elite
Highly rated in
9
conditions
General Surgery
Pediatric Surgery

Memorial Hermann Health System

915 Gessner Rd 
Houston, TX 

Kuojen Tsao is a General Surgeon and a Pediatric Surgeon in Houston, Texas. Tsao has been practicing medicine for over 24 years and is rated as an Elite expert by MediFind in the treatment of Appendectomy. He is also highly rated in 9 other conditions, according to our data. His top areas of expertise are Appendicitis, Appendectomy, Myelomeningocele, and Diaphragmatic Hernia. He is licensed to treat patients in Texas. Tsao is currently accepting new patients.

What are the latest Appendectomy Clinical Trials?
Retrospective, Multi-centric Study Comparing the Incidence of Surgical Site Infections in Patients Receiving Open Appendectomy With Double-ring Wound-edge Protectors Versus Laparoscopic Appendectomy
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Maestro LIFT-OFF: A Feasibility, Prospective, Single Center, Single-arm Study of the Maestro Surgical Assistance Device in Abdominal Laparoscopic Surgery
What are the Latest Advances for Appendectomy?
A Case of Mesenteric Desmoid Tumor Causing Bowel Obstruction After Laparoscopic Surgery.
Risk of Appendiceal Neoplasm in Periappendicular Abscess in Patients Treated With Interval Appendectomy vs Follow-up With Magnetic Resonance Imaging: 1-Year Outcomes of the Peri-Appendicitis Acuta Randomized Clinical Trial.
Tired of the same old research?
Check Latest Advances
Outcomes of Conservative Management of Acute Appendicitis during COVID-19 Pandemic.
Who are the sources who wrote this article ?

Published Date: March 05, 2020
Published 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.

What are the references for this article ?

Quick CRG, Biers SM, Arulampalam THA. Appendicitis. In: Quick CRG, Biers SM, Arulampalam THA. Essential Surgery: Problems Diagnosis and Management. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 26.

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.

Rosenthal MD, Sarosi GS. Appendicitis. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 120.