Appendectomy
An appendectomy is the surgical removal of the appendix, a small finger-shaped pouch attached to the large intestine on the lower right side of the abdomen. It is the standard treatment for appendicitis — inflammation of the appendix that, if untreated, can rupture and cause life-threatening peritonitis. At Iswarya Hospital the procedure is routinely performed laparoscopically (keyhole surgery), resulting in less pain, a smaller scar, and a faster return to normal activity.
🔬 How the Procedure Is Performed
- 1
General anaesthesia is administered.
- 2
Three small incisions (0.5–1 cm each) are made in the abdomen.
- 3
A laparoscope (camera) is inserted through one incision to visualise the appendix.
- 4
The appendix is isolated, its blood supply is clipped, and it is cut free.
- 5
The appendix is removed through one of the small incisions.
- 6
The incisions are closed with dissolving sutures or surgical glue.
✅ Benefits of Appendectomy
- ✓Treats appendicitis definitively — prevents rupture and peritonitis
- ✓Laparoscopic approach means smaller scars and less post-operative pain
- ✓Most patients are discharged within 24 hours
- ✓Return to desk work within 1 week
- ✓Lower risk of wound infection compared to open surgery
📋 How to Prepare
- Fast from food and water for 6–8 hours before the operation.
- Inform the surgical team of all medications and allergies.
- Pre-operative blood tests, ECG, and imaging (ultrasound/CT) are arranged.
- Remove nail polish, jewellery, and contact lenses.
- Arrange for a family member to be present post-operatively.
⚠️ Possible Risks & Side Effects
- Wound infection at incision sites
- Bleeding requiring re-operation (uncommon)
- Injury to surrounding bowel or blood vessels (rare)
- In ruptured appendicitis, a longer hospital stay and abscess drainage may be needed
- Anaesthesia-related reactions
Your surgeon will discuss all risks with you before the procedure and take appropriate precautions to minimise them.
💊 Post-Procedure Care
- Light diet starting with fluids and progressing to solid food over 24–48 hours.
- Keep incision sites clean and dry for 48 hours.
- Avoid heavy lifting or strenuous exercise for 2–4 weeks.
- Take pain relief and antibiotics as prescribed.
- Return to hospital immediately if you develop fever, severe pain, or vomiting.
❓ Frequently Asked Questions
Can appendicitis be treated without surgery?
Some mild cases of appendicitis can be managed with antibiotics alone, but surgery remains the definitive and safest treatment. Your surgeon will advise the right approach based on your scan and clinical condition.
How long after surgery can I eat normally?
Most patients can eat soft foods the same day as surgery and progress to a normal diet within 24–48 hours.
Will I have visible scars?
Laparoscopic appendectomy leaves three very small scars (each less than 1 cm), which fade significantly over 6–12 months.
🏥 Appendectomy at Iswarya Hospital
Led by Prof. Dr. G. Manoharan, one of India's most distinguished Surgical Gastroenterologists and Liver Transplant Specialists, specializing in advanced surgeries for gastrointestinal, liver, pancreatic, and biliary disorders.
ℹ️ This information is for educational purposes only and does not constitute medical advice. Individual treatment plans may vary. Always consult a qualified healthcare professional before making any medical decisions.