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.
Answered 8/4/2014
4.3k views
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!
Answered 8/31/2017
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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.
Answered 3/19/2014
4.3k views
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