Advantages of laparoscopic appendectomy

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Nguyen Ngoc Thang - Gastroenterologist - General Surgery Department - Vinmec Danang International General Hospital. The doctor has 17 years of experience in the field of gastrointestinal and hepatobiliary surgery, and has over 9 years of experience in endoscopic intervention.
Instead of the usual open surgery, patients with appendicitis can be treated by modern laparoscopic surgery with many outstanding advantages, bringing high treatment efficiency.

1. What is the laparoscopic appendectomy technique?

The diseases of the appendix include acute appendicitis, chronic appendicitis, appendiceal carcinoid, appendiceal cancer... or techniques to remove the appendix to replace the colon, ureter.. Laparoscopic appendectomy technique can be applied to treat pathologies or apply the techniques mentioned above. This is a popular appendectomy method because of its safety and high recovery, so it is often used in the treatment of appendicitis.
The doctor will make small incisions on the skin of the abdomen about 0.5 - 1cm long to place the manipulation channels for appendectomy. The first is to pump carbon dioxide into the abdomen to create a working cavity. The image of the abdomen will be transmitted to the screen through a specialized camera, helping the doctor to clearly observe the abdomen to conduct appendectomy.
Laparoscopic appendectomy usually has to be done with the treatment of local peritoneal lesions or the entire abdominal peritoneal cavity if the appendix has burst, causing pus to spill into the pelvic cavity, pelvis, and abdomen.

2. Laparoscopic appendectomy procedure

The patient was under endotracheal anesthesia; Place the patient in supine position, insert urinary catheter; The surgeon stands on the left side of the patient. The camera assistant stands to the right of the surgeon; Tear small incisions in the abdomen to place the trocar for the camera and instruments. Pressurized carbon dioxide gas for easy visualization of the abdomen; Place more trocars under camera supervision to ensure the most favorable for surgery; Examination of the abdomen and appendix, assessment of the peritoneum and viscera; Using a bipolar knife cut the mesentery of the appendix; Treat the base of the appendix by clipping or tying the thread; Examine for meckel's diverticulum, check for bleeding in the mesenteric appendix and for drainage at the base of the appendix; Clean the abdomen; Remove the appendix with a plastic bag; Remove all the CO2 in the abdomen and close the trocar holes.

3. Manifestations after laparoscopic appendectomy

After appendectomy, the patient will be placed to rest in the recovery room for 1-2 hours for monitoring. After that, they will be transferred to the ward to recover their health in about 1-2 days. If there is no abnormality, the patient can be discharged to rest at home. Doctors can prescribe pain relievers for patients.
Some symptoms may be encountered after performing appendectomy by laparoscopic method:
Headache; Dizzy ; Nausea; Itchy throat; Abdominal pain; Right flank pain; urinary retention; Tiny. If the patient has serious symptoms such as severe pain, bleeding, dizziness, infection, it is necessary to go to the hospital immediately so that the doctors can examine and handle it promptly.

4. Advantages of laparoscopic appendectomy

Small incisions, leaving no scars, high aesthetics; Less painful than conventional open surgery; High safety, especially for the elderly and obese; The recovery time after surgery is short. Vinmec International General Hospital is applying laparoscopic appendectomy to successfully treat thousands of cases of appendicitis.
With outstanding advantages in facilities, modern machinery system, Vinmec is increasingly appreciated not only in laparoscopic appendectomy but also in many other techniques.
The medical team performing the surgery are highly qualified and experienced, ready to handle even when unexpected complications occur. After surgery, the patient will be cared for and closely monitored, rested in a high-quality, international-standard ward, providing maximum support for the recovery process.

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