How is appendicitis laparoscopy performed?

Appendicitis laparoscopy is a new method of appendix removal.

Now laparoscopy is used quite often, as it has several important advantages over open cavity operation.

Advantages of appendicitis laparoscopy

There are happy people who, until the end of their life, will not know from which side the appendix is.

But those who are not so lucky know that this vermiform appendix is ​​in the abdominal cavity on the right and, when inflamed, it hurts very much.

The inflammation of the appendix is ​​called appendicitis. Appendicitis can not be treated in a conservative way.

The patient needs an urgent surgical operation, after which a noticeable scar remains on the right side of the abdomen. In medicine, the classical operation to remove appendicitis is called appendectomy.

During an appendectomy in the abdominal cavity, a cut is made through which the inflamed process is removed. Restoration of working capacity after such an operation takes a lot of time.

Fortunately, today, appendicitis does not require a complex operation, since a technique called laparoscopy has been developed that allows you to remove the appendix without cutting the abdominal cavity.

For this it is enough to make two small holes in the abdominal wall. Through one inside the camera is inserted on a flexible fiber optic cable, allowing the surgeon to monitor the progress of the operation.

The second hole is needed to insert surgical instruments to remove the process.

With laparoscopy, you can not only quickly remove the appendix, but also with great accuracy diagnose acute and chronic appendicitis.

Diagnostic laparoscopy allows the physician to examine the part of the abdominal cavity from the inside without opening it. If you see that the appendix is ​​not inflamed, it means that the cause of the pain is different.

The cause may be ectopic pregnancy, ovarian cyst and other diseases of the abdominal cavity. All of them can be diagnosed with laparoscopy.

The method has important advantages over traditional appendectomy:

• shortened postoperative period;
• rapid recovery of intestinal motility;
• after surgery, the patient does not experience severe pain;
• does not need to stay in hospital for a long time;
• cosmetic effect;
• decrease in the number and severity of complications;
• a short period of incapacity for work.

Indications for the removal of the vermiform appendage through laparoscopy are:

• difficulties with diagnosis, when for several hours it is not possible to confirm or disprove the acute appendicitis;
• need to remove the process with obesity of a high degree, which requires a strong dissection of the abdominal wall;
• diabetes mellitus - in such patients there is a high risk of postoperative complications of a purulent nature;
• the patient's desire to remove the appendix without leaving a noticeable scar on his stomach.

Laparoscopy of appendicitis

Appendicitis laparoscopy under general anesthesia. Preparation for the operation takes about two hours. During this time, the patient is given an infusion therapy, sedatives and antibiotics are administered, and the necessary skin area is prepared for the operation.

If appendicitis is acute and there is no doubt in the diagnosis, then the preparatory period should take as little time as possible.

During laparoscopy, the patient lies on his back, slightly turning to the left. This position leads to the fact that the cecum moves towards the liver, and the appendix becomes more accessible for medical manipulations.

Video:

The abdominal surface is treated with disinfectants and makes two incisions of a small size. One opening will be located in the right hypochondrium, another - in the pubic area.

A needle is inserted into the peri-tubular region, through which carbon dioxide is introduced into the abdominal cavity. This technique allows the doctor to better see what happens during the operation.

A laparoscope is then inserted through the incision into the abdomen and a detailed examination of the organs is performed. During the examination, it is determined whether there is peritonitis and what extent of its spread.

For the operation to be successful, it is important during the examination to determine the shape and location of the appendix, whether there are any morphological changes in it.

Based on the results of the examination, the doctor decides whether the operation can be performed with laparoscopic access or it is necessary to go on to standard appendectomy.

One of the advantages of laparoscopy is the low probability of complications. But nevertheless during this operation there can be certain complications, the most dangerous of which is the perforation of the cecum.

If during the laparoscopy the doctor sees that there is a threat of bleeding or perforation of the intestine, then he will switch to a traditional operation.

A short postoperative period is one of the advantages of laparoscopy. When the laparoscopy is over, you will have to abstain from bed rest for a short time: one day after removal of appendicitis you can get up and move freely without experiencing pain.

Food may be taken one day after laparoscopy. In the recovery period, a special diet is needed. In the first day after the appendicitis, you can not even drink.

All body reserves at this time are directed to recovery from the wounds inflicted on him, and food and drink prevent him from coping with the injuries.

On the second day you can drink and eat a little, then the diet expands daily.

Diet after appendicitis includes boiled rice and chicken, mashed potatoes or pumpkin puree, low-fat broth, yogurt.

After two days of eating such a diet, the diet is replenished with fresh porridge and soups. They give the patient strength and at the same time do not load the intestines. The diet allows the addition of fresh spicy greens( parsley, dill) to the soup.

In drinks, the patient is not limited. The diet for the further recovery period includes juices, compotes, tea, fruit drinks, kissels. Drinks should not be purchased - all juices and fruit drinks should be prepared independently.

A day later, the patient is removed from the drainage, and after three days he will be able to leave the hospital. Recovery will go faster if you use physiotherapy treatment during this period.

You need to be prepared for the fact that after the appendicitis the doctor can prescribe hormonal drugs. Physical stress will have to be limited for two months after laparoscopy.

Treatment of appendicitis with laparoscopy is considered a very safe way.

To quickly get down to normal life and not get postoperative complications, it is necessary to take medication prescribed by a doctor and observe the correct diet and physical activity.