How Is Low Impact Laparoscopy Appendectomy Performed
How an Appendectomy Performed
Appendectomy is a
medical procedure to dispose of the supplement, regularly in a ruptured
appendix. The supplement is a little ganglion-like organ joined to the
foundation of the right half of the digestive organ. It now and again become
contaminated because of a check, causing intense an infected appendix. This
organ is not important to live; it is feasible to eliminate it. For sure, this
kind of careful intercession is very normal and most frequently straightforward
and fast.
During their
internship in laparoscopic technique, many of them have not received practical
training with simulators Laparoscopic
Training Kit.
Why Do an Appendectomy
We speak of
appendicitis when a sudden inflammation of the appendix occurs. This small
structure will then obstructed by feces, mucus, or even a thickening of the
lymphoid tissue present. This inflammation can also be caused by a tumor will
also obstruct the appendix.
The latter will then
swell and colonized by multiple bacteria. It can sometimes start to necrotize.
Most often, appendicitis occurs between the ages of 10 and 30 and affects more
men than women. One in 15 people has already had to undergo an appendectomy, so
it is a common occurrence.
When appendicitis
detected, it is essential to proceed as soon as possible to an appendectomy. If
the wait is too long, the appendix may then rupture, causing peritonitis in
most cases. In other words, the wall surrounding the abdominal cavity and
containing the intestines called the peritoneum becomes infected. Surgical
intervention will then become urgent.
Untreated
appendicitis can also develop into appendicular abscess. A cavity filled with
pus will then form in the appendix, causing a high fever in the patient. An
urgent surgical treatment will then be necessary in order to avoid the rupture
of this abscess.
Symptoms predicting
appendectomy may vary from person to person. Generally, the pain begins by
manifesting itself at the level of the navel while gradually evolving towards
the lower right part of the abdomen. Over the hours, this pain will increase
and be located between the navel and the pubic bone, always on the right side
of the abdomen.
In addition to pain,
there are several symptoms announcing an appendectomy, namely:
·
Nausea or vomiting;
·
A loss of appetite;
·
Low fever;
·
Constipation, or on the contrary diarrhea or
gas;
·
Bloating or stiffness in the abdomen
Before proceeding
with the appendectomy, your doctor will need to carry out a clinical
examination to be sure of the diagnosis. You will therefore have to take a
blood test and an ultrasound in the hospital.
Laparoscopic Appendectomy
The traditional
appendectomy technique consists of proceeding openly, by making an incision
made in the right iliac fossa to respect the appendix. However, this surgical
approach is particularly invasive and leaves quite a significant scar.
Traditional Laparoscopy
Today, it is
possible to perform the appendectomy by laparoscopy. The main advantage of this
approach is the more global vision of the peritoneal cavity that it allows.
Laparoscopic surgery requires 3 to 4 incisions of approximately 1 to 2 cm will
require stitches.
Your abdomen will
then inflated with CO2 to provide the surgeon with sufficient space to have
good visibility and perform the appendectomy using their instruments in the
abdomen.
Unlike laparotomy,
which consists of incising the abdomen directly, laparoscopy considerably
reduces the risk of infection of the abdominal wall.
Low Impact Laparoscopy
However, a surgical
approach that is even less invasive than traditional laparoscopic appendectomy
is Low Impact Laparoscopy. In this specific case, the surgeon will gently
inflate the abdomen using less pressure.
You will also operate
on with smaller instruments through only 2 or 3 micro-incisions that do not
require stitches, as well as a standard incision made in or near the navel. The
procedure will take an hour at most and your doctor may even recommend that the
operation scheduled as an outpatient.
Postoperative Consequences
Most patients are
able to get up and eat normally the same evening after the procedure. Indeed,
it does not cause severe postoperative pain. In addition, painkillers may
administered.
In some rarer cases,
it may be necessary to set up drainage immediately after the operation, using a
tubal drain or a blade in order to evacuate the infiltration of blood into the
tissues produced by the inflammation. Your doctor will administer antibiotics
and possibly anticoagulants depending on the case in order to prevent
phlebitis.
The duration of
hospitalization is on average 2 days, but can extended to 5 days in the event
of abscess or peritonitis. Your intestinal transit will restored after the 2nd
or 3rd day maximum. You will therefore
be in convalescence for several weeks and you will have to wait a month before
you can practice a sporting activity again.
Conclusion
Thus, appendectomy
is commonplace surgical procedure that rarely leaves room for severe complications.
This quick and relatively simple operation frequently performed by doctors.
Given the progress of medicine, especially with Low Impact Laparoscopy,
recovery done in record time and very little postoperative pain observed.
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