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Chillicothe, MO
A 64-year-old male asked about a 64-year-old male:

appendectomy if the surgeon discovers that an appendix is burst, should the procedure be done laparoscopically or traditionally?

3 doctor answers4 doctors weighed in
Dr. Mark Kuhnke
General Surgery 40 years experience
Laparoscopy is fine: Just because an appendix is ruptured doesn't mean that laparoscopic approach must be abandoned. Actually, the scope gives me a much better view of the soilage and contamination.One can alway convert to open if surgery is not progressing well. Now, with rupture the game changes - drain is placed, antibiotics are given longer, and the hospital stay goes from two hours to a few days. Good luck.
Dr. Ryan Phasouk
Family Medicine 18 years experience
In general: A perforation of the appendix in an acute ill patient will call for an urgent laparotomy. In some cases, a perforation of the appendix can result in self-containment and non-operative management is the treatment if choice. All the best!
Dr. Raj Borade
Gastroenterology 19 years experience
Depends: Hi, usually after a perforated appendix the resultant pus spreads all over in the abdomen. So the surgeon has to go in; examine ;clean all the involved areas. This needs a bigger viewing area. The inflammation ; pus obscures the boundaries of familiar organs and clear views are difficult laparoscopically. Rarely if the area involved is contained then laparoscopic appendectomy can b attempted.

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Similar questions

A 33-year-old member asked:

What type of surgery is performed to remove the appendix?

2 doctor answers4 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Laparoscopy v. Open: The appendix may be removed via traditional "open" surgery performed thru a 2-3" incision or via minimally invasive laparoscopic surgery. Both are safe procedures with the choice of procedure usually dependent on the preference of the surgeon. Like most surgeons under age 50, i perform almost all of mine laparoscopically, with an average length of hospitalization less than 24 hrs.
A 50-year-old member asked:

How long after getting a laparoscopic appendectomy can I return to work?

2 doctor answers4 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
1-2weeks: The recovery from a laparoscopic appendectomy often has more to do with how sick you were from the appendicitis and your baseline health rather than the pain from the incisions. If your appendix was ruptured, your body may even need longer to recover.
KY
A 20-year-old member asked:

Are appendix related problems genetic?

2 doctor answers6 doctors weighed in
Dr. Peter Kurzweil
Internal Medicine 50 years experience
Not likely: The appendix is a small 'appendage' that extends off the start of the colon--about six ft long (large intestine)--where the small bowel (@20ft long) empties into at the right lower quadrant of the abdomen. It is an evolutionary leftover piece of tissue which has no function; however when it becomes blocked and inflamed, appendicitis, it needs removal (i suppose this functions to help the surgeon).
A 47-year-old member asked:

Complications from hyst and appendectomy 3 weeks ago. Edges of incision slightly coming apart ?

1 doctor answer3 doctors weighed in
Dr. Jan Rakinic
Colon and Rectal Surgery 38 years experience
See your surgeon: See or speak with your surgeon as soon as you can. Answer questions as completely as you can. This could be nothing to worry about; but it could be a wound infection, and your surgeon will know when s/he sees you.
A 37-year-old member asked:

How long to recover from laparoscopic appendectomy?

2 doctor answers5 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Days-to-week(s): Following laparoscopic appendectomy, the recovery is primarily dependent on the severity of the appendicitis rather than the postoperative pain from surgery. Most people are home from the hospital in a day, feeling well enough to return to work in about a week, and back to full activities within 2 weeks.

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Last updated Aug 31, 2017
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