Laparoscopic removal of appendicitis

Appendix is a closed, narrow body, whose length reaches up to 10 cm. Usually located in the bottom of the strap. His sock produces trace amounts of mucus, flowing in the direction of the cecum. The walls are made of lymphoid tissue, which is a component of the immune system. Thanks to this appendix helps us to function, but – Interestingly – is not necessary for normal functioning. Its task is to produce bacteria decomposing immunoglobulin-a special type of protein that helps the body fight any infections. However, in the case of the removal of appendicitis, is it laparoskopowego, or with the use of the classic techniques of surgery, other organs take over the functions previously held the outgrowth. Thus, there was no increase in susceptibility to any infections in people after this type of surgery.


About inflammation of the appendix can speak at a time when the clog hole on the cecum. Such locks have several causes, m.in. NDS thick mucus or to pass portions of the stool to its interior. Blocked the mouth of the causes the growth of bacteria in the Interior, and these, in turn, contribute to the formation of inflammation. However, inflammation can also be caused by the rupture and reduce risk of bacteria from the alveolar to the peritoneum. In this case, could lead to a dangerous infection, but usually it occurs only within the alveolar-forming around a special plate.

Other complications include bowel obstruction or sepsis, however, observed only in a few cases.

If a delay in surgical response – whether in the case of the classical treatment, if it comes to laparoscopic removal of the Appendix, the patient is exposed to perforation of the Appendix. It belongs to the most common complications of inflammation. As a result of perforation is likely rise abscess appendicitis or any spill fluid into the peritoneal cavity, and hence the whole infection of the lining of the abdominal and pelvic region. That is why it is so important to report it immediately to your doctor when pain in the lower right of the abdomen.

Appendicitis is one of the most common cases faced by professionals from the surgery. It was found that this disease affects up to 1:2000 people. In this case it will be necessary to remove appendicitis, not to the risk of rupture and spill fluid inside the abdominal cavity, because this can cause peritonitis, threatening not only health, but above all the life of the patient.


Because there are no symptoms characteristic only for inflammation of, you may experience difficulty in diagnosis.

The first symptom that is observed in patients, pain, initially trying to precisely locate, then growing on the shell. At the time, when it comes to peritonitis, all pain is concentrated in one place, just right with the hip bone and the navel. section McBurney'a. To disperse the pain can occur when Appendix will burst, and the contents spill into the abdomen.

Other symptoms include, among others:

  • nausea,
  • vomiting,
  • anorexia nervosa,
  • bloating,
  • increase in body temperature,
  • Leukocytosis,
  • the feeling of urgency and frequent urination.

Inflammation of the appendix may be sometimes confused with renal colic or diseases of the ovaries or fallopian tubes. That is why it is worth to ask the patient about a few specific symptoms:

  • Blumberga – feeling pain during the dispensation of oppression abdominal coatings,
  • Rovsinga-palpacyjna left control the bottom strap should cause pain just above the opposite bottom-right
  • Jaworski is a growing pain in leaving the right leg straight, while oppressing right down the waist.

During the diagnosis specialist interviews the patient, check body temperature and level of tenderness lower abdomen. After completing the morphology you will notice the increase in the level of white blood platelets, while X-RAYS of the abdomen may indicate retention of stool or fluid. Sometimes have to also carry out ultrasound, however, only half of the cases it indicates inflammation. That is why the diagnosis of appendicitis is so complex.

Laparoscopic removal of appendicitis

The traditional method of removing assumes implementation of precise incisions with a length of up to 10 cm in the lower abdomen, on the right – which is where the appendix is located. In turn, by laparoscopy doctor performs up to 3 notches, however none of them does not exceed 15 mm. Laparoscope gives you the ability to accurately depict what is happening inside the abdominal cavity. In some very rare cases, it may be necessary to have an additional extend cuts for a further 15 mm. Such practices also apply when changing the method on an open, resulting for example. with poor capabilities of anatomical patient or hemorrhage.

Before the start of the proper treatment, the patient is given general anesthesia. The patient remains in a State of anesthesia all the time of the operation. By made the incision, to the inside of the abdomen is a laparoscope. Located at the end of the camera allows you to view the Interior of the abdomen. Then the rest of the cut is admitted all the tools necessary to carry out the treatment laparoskopowego removal of the Appendix. In this case, the outgrowth is first amplified, and then completely removed from the body. Some cases require leave in the Interior of the abdomen of a special drain that is removed by a specialist before leaving the hospital.

Postoperative wound closes by using up to 2 stitches and a special surgical.

Laparoscopic removal of appendicitis is surgery much less invasive to the body than the classic surgical alternative. This technique is recommended mainly due to a lower level of post-operative pain, a much shorter recovery period and the stay in the hospital after surgery. What's more, you are not only faster returns to full physical activity, but also his intestines regenerate in much less time. Extra, the aesthetic advantage may be the fact that the laparoscopic removal of appendicitis does not leave scars typical of classical methods-which, in many cases, expand, grow, and hence does not look good.

Contraindications to laparoskopowego remove appendicitis

Although this method of surgery might seem ideal, it is not recommended for all patients, without exception. Laparoskopię shall be carried out only in the early stages of inflammation. If there is already to the severity of symptoms or cracks of the Appendix, will immediately carry out the traditional surgery to remove that as the only thing in this case ensures patient safety.

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