Complicated forms
With perforation, pus and effusion spread throughout the abdomen - laparoscopy allows you to wash all sections precisely and without a large incision, which reduces the frequency of wound infections and adhesions significantly; with a loose infiltrate, the appendix is isolated bluntly; with a dense abscess, the cavity is opened and drained. The unreliable stump is covered with a suture. After surgery - drainage for 2-4 days, intravenous antibiotics, ultrasound monitoring; the risk of intra-abdominal abscesses requires monitoring. Recovery 2–3 weeks; the marks are the same three punctures.
Indications
- acute appendicitis - emergency surgery to confirm the diagnosis;
- complicated forms: gangrenous, perforated appendicitis, local peritonitis, infiltration with abscess formation;
- chronic appendicitis with repeated attacks (planned).
Laparoscopy for appendicitis
Laparoscopic appendectomy has a double advantage: the camera first confirms the diagnosis (if the picture is unclear in women, gynecological causes are excluded), then the appendix is removed through the same punctures - the base is treated with loops or a stapler, the appendix is removed in a container, the cavity is washed and drained if necessary. Compared to an incision, there is less pain and wound complications, shorter hospitalization, faster return to activity, better cosmetic results. The diagnosis before surgery is confirmed by examination, tests and ultrasound/MSCT.
Benefits of laparoscopy
Laparoscopic access is the standard of modern abdominal surgery: instead of a 10–20 cm incision, 3–4 punctures are left, the pain after surgery is much less, the patient gets up on the day of surgery and is discharged after 1–2 days, the risk of wound infection, hernias in the scar and adhesions is several times lower, and the enlargement of the camera allows you to operate more accurately. In the clinics below, operations are performed by surgeons with extensive laparoscopic experience; hospital (SKD) is included in the price according to the price list.
