The appendix is a finger-like pouch of the intestinal tract situated where the small and large intestine join. It is a vestigial organ having no known use. Dhanvantari Hospital has the best appendix doctor in Borivali.
Appendicitis is an inflammation of the appendix. It usually occurs when its lumen is blocked by a piece of fecolith, injury, or a lymph node. This blocks its contents from emptying into the intestines. These secretions collect and engorge, causing the appendix to swell up.
If not treated in time – The swelling can exert pressure on the blood supply to the appendix causing its gangrene or ruptures. This results in spillage of infected fecal material and pus into the abdominal cavity causing abscess or septicemia
Children, elderly and pregnant women, and the elderly do not have the usual symptoms of appendicitis. Thus it is very important for these people to be careful to report the early signs of appendicitis.
How is it treated?
The surgical removal of the appendix is called an appendectomy
How is an appendectomy done?
Open procedure-Traditionally, the appendix was removed through a larger incision in the right lower abdominal wall.
In laparoscopic appendectomies, surgeons operate through 3 small incisions (each 5-10mm) while watching an enlarged image of the patient’s internal organs on a television monitor. In some cases, one of the small openings may be lengthened to 2 or 3 inches to complete the procedure. Dr. Bhavesh Doshi is the appendix doctor at Dhanvantari Hospital, Borivali.
In a small number of patients, the laparoscopic method is not feasible because of the inability to visualize or handle the organs effectively. When the surgeon feels that it is safest to convert the laparoscopic procedure to an open one, this is not a complication, but rather sound surgical judgment in the interest of patient safety. Some of the reasons being, extensive infection, perforation, bleeding, or an inability to visualize organs.
Laparoscopic appendectomy is not performed if there is advanced infection or the appendix has ruptured. A traditional, open procedure using a larger incision may be required to safely remove the infected appendix in these patients.
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