Laproscopic Appendectomy

Appendix Doctor - Best Appendix Surgeon, Appendix Doctor in Ahmedabad, Gujarat,India


  • THE CONDITION
    image

    Appendix Doctor,Appendix Surgeon In Ahmedabad,Gujarat, Appendectomy is the surgical removal of the appendix.The operation is done to remove an infected appendix. An infected appendix, called appendicitis, can burst and release bacteria and stool into the abdomen. Dr. Rakesh Sanol is Best Appendix Doctor,Appendix Surgeon in Ahmedabad, Gujarat.

    Dr. Rakesh Sanol- Best Appendix Doctor in Ahmedabad

    Sadbhavna Hospital is considered as one of the best Appendix removal hospital in Ahmedabad,Gujarat. People come to us with the complaint of stomach pain and vomiting every year trying to find a Best Appendix Doctor,Appendix Surgeon in Ahmedabad. Dr Rakesh Sanol is established name as best Appendix Doctor in Ahmedabad For Appendix Tratment. Patients who got the surgery in Sadbhavna Hospital, say that Dr. Rakesh Sanol is the top doctor for Appendix surgery.

    What are the common symptoms?

    • Abdominal pain that starts around the navel
    • Not wanting toeat
    • Low fever
    • Nausea and sometimes vomiting
    • Diarrheaor constipation

    TREATMENT OPTIONS

    SURGERY
    • Laparoscopic appendectomy-the appendix is removed with instruments placed into small abdominal incising.open appendectomy-the appendix is removed through an incision in the lower right abdomen.
  • COMMON DIAGNOSTIC TESTS
    HISTORY AND PHYSICAL

    The focus will be on your abdominal pain.There is no single test to confirm appendicitis.


    NONSURGICAL

    Surgery is the standard treatment for an acute(sudden) infection of the appendix.Antibiotic treatment might be used as an alternative for specific patients and children.

  • BENEFITS AND RISK OF OPERATION

    An appendectomy will remove the infected organ and relieve pain.Once the appendix is removed, appendicitis will not happen again. Appendix Doctor,Appendix Surgeon Dr Rakesh Sanol, always mention to patient that in case of not having surgery is the appendix can burst, resulting in an abdominal infection called peritonitis. Possible complication sin include abscess, infection of the wound or abdomen, intestinal blockage, hernia at the incision, pneumonia, risk of premature delivery (if you are pregnant), and death.


  • EXPECTATIONS

    BEFORE YOUR OPERATION Evaluation usually includes blood work,urinalysis,and an abdominal CT scan,orab dominal altrasound. Your surgeon and anesthesia provider will review your health history, medications, and options for pain control. The day of your operation—You will not be allowed to eat or drink while you are being valued for an emergency appendectomy. Your recovery—If you have no complications, you usually can go home in 1 or 2 days after a laparoscopic or open procedure. Call your surgeon if you are in severe pain, have stomach cramping, a high fever, odor or increased drainage from your incision, or no bowel movements for 3days.


  • TESTS (SEE GLOSSARY)

    Abdomin altrasound—Checks for anen larged appendix Complete blood count(CBC)—A blood test to check for infection Rectalexam—Checks for tendernesson the right side and for any rectal problems that could be causing the abdominal pain Pelvicexam—May be done in young women to check for pain from gynecological problems like pelvic inflammationor infection Urinalysis—Checks for an infection in your urine,which cancaus eabdominal pain Electro cardiogram(ECG)—Some times done in the old eradultto make sure heart problems are not the cause of pain.


THE SURGICAL AND NONSURGICAL TREATMENT


  • SURGICAL TREATMENT
    Acute appendicitis is an urgent problem requiring surgical consultation.

    LAPAROSCOPIC APPENDECTOMY

    This technique is the most common for simple appendicitis. The surgeon will make 1 to 3 small incisions in the abdomen. A port (nozzle) is inserted into one of the slits, and carbon dioxide gas inflates the abdomen. This process allows the surgeon to see the appendix more easily. A laparoscope is inserted through another port. It looks like a telescope with a light and camera on the end so the surgeon can see inside the abdomen. Surgical instruments are placed in the other small openings and used to remove the appendix. The area is washed with sterile fluid to decrease the risk of further infection. The carbon dioxide comes out through the slits, and then the sites are closed with sutures or staples or covered with glue-like bandage and Steri-Strips. Your surgeon may start with a laparoscopic technique and need to change to an open technique. This change is done for your safety


    OPEN APPENDECTOMY

    The surgeon makes an incision about 2 to 4 inches long in the lower right side of the abdomen. The appendix is removed from the intestine. The area is washed with sterile fluid to decrease the risk of further infection. A small drainage tube may be placed going from the inside to the outside of the abdomen. The drain is usually removed in the hospital. The wound is closed with absorbable sutures and covered with glue like bandage or sterile-stripes.

    image
  • NON-SURGICAL TREATMENT

    If you only have some of the signs of appendicitis, your surgeon may treat you with antibiotics and watch for improvement. In an uncomplicated appendectomy, antibiotics may be effective, but there is a higher chance of reoccurrence.

    LAPAROSCOPIC VERSUS OPEN

    For both adults and children, laparoscopic appendectomy has an advantage of lower infection rate, shorter hospital and recovery time, and lower pain scores. There was a slightly increased risk of infection of the urinary tract and within the abdomen (abdominal abscess) and bleeding within the abdomen.


    RUPTURED APPENDIX

    Unfortunately, many people do not know they have appendicitis until the appendix bursts. If this happens, it causes more serious problems. The incidence of ruptured appendix is 270 per 1,000 patients. This is higher in the very young and very old and also higher during pregnancy because the symptoms (nausea, vomiting, right-sided pain) may be similar to other pregnancy conditions

    image

THE SURGICAL AND NONSURGICAL TREATMENT


  • PREPARING FOR YOUR OPERATION
    HOME MEDICATION

    Appendectomy is usually an emergency procedure. You can help prepare for your operation by telling your surgeon about other medical problems and medications that you are taking.


    Be sure to tell your surgeon if you are taking blood thinners (Plavix, Coumadin, aspirin).


    ANESTHESIA

    You will meet with your anesthesia provider before the operation. Let him or she knows if you have allergies, neurologic disease (epilepsy or stroke), heart disease, stomach problems, lung disease (asthma, emphysema), endocrine disease (diabetes, thyroid conditions), loose teeth, or if you smoke, drink alcohol, use drugs, or take any herbs or vitamins. Let your surgical team know if you smoke and plan to quit. Quitting decreases your complication rate


    LENGHT OF STAY

    You can often go home in 1 or 2 days. Your the hospital stay may be longer for a ruptured appendix.


    DON'T EAT OR DRINK

    You will not be allowed to eat or drink while you are being evaluated for an appendectomy. Not eating or drinking reduces your risk of complications from Anesthesia


    QUESTIONS TO ASK

    ABOUT MY OPERATION:
    • What are the side effects and risks of anesthesia?
    • What technique will be used to remove my appendix? Laparoscopic or open?
    • What are the risks of this procedure for me?
    • Will you be performing the entire operation yourself?
    • What level of pain should I expect, and how will it be managed?
    • How long will it be before I can return to my normal activities (work, driving, lifting)?

    WHAT TO BRING
    • Insurance card and identification
    • Advance directives (see Glossary)
    • List of medicines
    • Loose-fitting, comfortable clothes
    • Slip-on shoes that don’t require that you bend over
    • Leave jewelry and valuables at home
  • WHAT YOU CAN EXPECT

    WHAT YOU CAN EXPECT

    SAFETY CHECKS

    An identification (ID) bracelet and allergy bracelet with your name and hospital/clinic number will be placed on your wrist. These should be checked by all health team members before they perform any procedures or give you medication. Your surgeon will mark and initial the operation site.


    FLUIDS AND ANESTHESIA

    An intravenous line (IV) will be started to give you fluids and medication. For general anesthesia, you will be asleep and pain free during the operation. A tube may be placed down your throat to help you breathe during the operation.


    AFTER YOUR OPERATION

    You will be moved to a recovery room where your heart rate, breathing rate, oxygen saturation, blood pressure, and urine output will be closely watched. Be sure that all visitors wash their hands


    PREVENTING PNEUMONIA AND BLOOD CLOTS

    Movement and deep breathing after your operation can help prevent postoperative complications such as blood clots, fluid in your lungs, and pneumonia. Every hour, take 5 to 10 deep breaths and hold each breath for 3 to 5 seconds. When you have an operation, you are at risk of getting blood clots because of not moving during anesthesia. The longer and more complicated your surgery, the greater the risk. This risk is decreased by getting up and walking 5 to 6 times per day, wearing special support stockings or compression boots on your legs, and for high-risk patients, taking a medication that thins your blood.



YOUR RECOVERY AND DISCHARGE


  • YOUR RECOVERY AND DISCHARGE
    THINKING CLEARLY

    The anesthesia may cause you to feel diff erent for 1 or 2 days. Do not drive, drink alcohol, or make any big decisions for at least 2 days


    NUTRITION

    When you wake up, you will be able to drink small amounts of liquid. If you do not feel sick, you can begin eating regular foods.


    Continue to drink lots of fl uids, usually about 8 to 10 glasses per day.


    Eat a high-fi ber diet so you don’t strain during bowel movements


    ACTIVITY

    Slowly increase your activity. Be sure to get up and walk every hour or so to prevent blood clots.


    ContDo not lift or participate in strenuous activity for 3 to 5 days for laparoscopic and 10 to 14 days for open procedure.


    You may go home in 1 to 2 days for a laparoscopic repair. If your appendix ruptured or you have other health issues or complications, you may stay longer.


    It is normal to feel tired. You may need more sleep than usual.


    WORK AND RETURN TO SCHOOL

    You can go back to work when you feel well enough. Discuss the timing with your surgeon


    Children can usually go to school 1 week or less after an operation for an unruptured appendix and up to 2 weeks after a ruptured appendix.


    Most children will not return to gym class, sports, and climbing games for 2 to 4 weeks after the operation



    BOWEL MOVEMENTS

    After intestinal surgery, you may have loose watery stools for several days. If watery diarrhea lasts longer than 3 days, contact your surgeon.


    Pain medicatio (narcotics) can cause constipation. Increase the fi ber in your diet with high-fi ber foods if you are constipated. Your surgeon may also give you a prescription for a stool softener.


    PAIN

    The amount of pain is different for each person. Some people need only 1 to 3 doses of pain control medication, while others need more.


    HOME MEDICATIONS

    The medicine you need after your operation is usually related to pain control.


    WOUND CARE

    • Always wash your hands before and after touching near your incision site.
    • Do not soak in a bathtub until your stitches or Steri-Strips are removed. You may take a shower after the second postoperative day unless you are told not to.
    • Do not soak in a bathtub until your stitches or Steri-Strips are removed. You may take a shower after the second postoperative day unless you are told not to.
    • Follow your surgeon’s instructions on when to change your bandages.
    • A small amount of drainage from the incision is normal. If the drainage is thick and yellow or the site is red, you may have an infection, so call your surgeon.
    • If you have a drain in one of your incisions, it will be taken out when the drainage stops.
    • Steri-Strips will fall off in 7 to 10 days or they will be removed during your fi rst offi ce visit.
    • If you have a glue-like covering over the incision, allow the glue to fl ake off on its own.
    • Avoid wearing tight or rough clothing. It may rub your incisions and make it harder for them to heal.
    • Protect the new skin, especially from the sun. The sun can burn and cause darker scarring.
    • Your scar will heal in about 4 to 6 weeks and will become softer and continue to fade over the next year.
    • Sensation around your incision will return in a few weeks or months.