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.