With few exceptions, the treatment of appendicitis is surgical (ie, appendectomy). The operation can be done open or laparoscopically. The results of clinical trials comparing the two methods show no clear-cut advantage of one method over the other, though patients treated laparoscopically return to work a few days earlier. A laparoscopic approach is desirable when the preoperative diagnosis is uncertain because the morbidity is less if the appendix is found to be uninflamed and an appendectomy is not done.
Prophylactic antibiotics are indicated preoperatively. A single-drug regimen, usually a cephalosporin, is as effective as more aggressive multiple-drug combinations. Routinely culturing abdominal fluid is of no practical value even when the appendix has perforated. The organisms obtained are the usual fecal flora.
We utilize a three-port technique, with one umbilical and one suprapubic port in order to perform an appendicitis surgery. Although the third port can be placed in either the left or right lower quadrant, we prefer the left lower quadrant. This follows the laparoscopic principle of triangulation, such that the port locations direct the camera and instruments toward the right lower quadrant for optimal visualization of the appendicitis.
Laparoscopic Appendectomy Video
See what doctors do with our appendix !
What is a laparoscopic appendectomy?
The laparoscopic (minimally invasive) surgical technique involves making several small incisions in the abdomen and inserting a miniature camera and surgical instruments. No fewer than three or four cuts are made. The surgeon removes the plant with the instruments, so there is usually no need to make a large cut in the abdomen. The camera projects a magnified image of the area on a TV screen, follow the instructions will help the surgeon asto remove the plant.
What is the advantage of laparoscopic appendectomy?
Most cases of acute appendicitis can be treated laparoscopically. The main advantages are: