Appendicitis, the inflammation of the appendix, is a medical emergency requiring prompt surgical removal (appendectomy). When the appendix ruptures, the situation becomes more critical, impacting the surgical approach and recovery process.
Appendectomy for Unruptured Appendix:
Typically Laparoscopic: In most cases of uncomplicated appendicitis, surgeons perform a laparoscopic appendectomy. This minimally invasive technique involves small incisions in the abdomen, allowing the surgeon to insert a tiny camera and specialised instruments to remove the appendix.
Benefits: Laparoscopic surgery generally leads to faster recovery, less pain, and smaller scars compared to open surgery.
Appendectomy for Ruptured Appendix:
Often Requires Open Surgery: If the appendix has ruptured, an open appendectomy is often necessary. This involves a larger incision in the abdomen to provide better access to the area and allow for thorough cleaning of the abdominal cavity.
Cleaning the Abdomen: When the appendix ruptures, the contents within it can spill into the abdominal cavity, causing infection (peritonitis). The surgeon must carefully clean the abdominal cavity to remove any infection and prevent complications.
Drainage Tube: In some cases, a drainage tube may be placed in the abdomen to drain any remaining fluid or pus.
Longer Hospital Stay: Recovery may take longer, and hospital stays may be extended compared to laparoscopic appendectomy for unruptured appendix.
Appendectomy for a ruptured appendix differs significantly from the procedure for an unruptured appendix. Ruptured appendicitis often requires open surgery, carries a higher risk of complications, and typically involves a longer recovery period. Early diagnosis, prompt treatment, and consultation with a colorectal surgeon are crucial to minimise the risk of complications and ensure a successful recovery.
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