At MGM Healthcare, patients are at the core of everything that we do. During these unprecedented times, we are offering video consultation services to our patients to help them stay connected with our consultants. However, video consultation is not a substitute for an in-person consultation where a physical examination is done. Medical advice sought and accepted is at the patient's own risk. We advise that you visit your doctor in person for a follow-up consultation at the earliest.
The incidence of appendicitis in India is the highest in the age group of 11- 20 years which constitutes around 44.6%. The occurrence of this condition decreases as the age progresses. The occurrence of appendicitis estimates around 36.1% in the age group of 21 to 30 years and 11% in the age group of 31-40 years.
Appendicitis is a common intra-abdominal pathology that requires operative management. Acute appendicitis is a progressive blockage of the appendix, which causes tissue inflammation. Appendicitis is a medical emergency and appendectomy is the only treatment.
How is it performed?
The patient is administered general anaesthesia before the start of the surgery.
Three cannulae are used during the procedure – two are fixed in the umbilical and suprapubic position while one is placed in the right periumbilical region.
A small and short umbilical incision is made and one cannula is placed.
A laparoscope is inserted through the access and the entire abdominal cavity is viewed.
Instruments such as incisors, forceps and staplers are inserted after the placement of a 12-mm trocar
An atraumatic grasper is inserted, which exposes the appendix.
The appendix is retracted upward; this allows exposure of the mesoappendix.
The mesoappendix is divided and ligated with the help of a linear endostapler or suture ligature that is passed through the suprapubic cannula.
Scissors or electrocautery is used to transect the mesoappendix.
A linear endostapler is then used to transect the appendix.
The freed appendix is removed through the cannula.
The cannulae are extracted and sites closed with sutures.