A member asked:

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

4 doctors weighed in across 3 answers

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

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Dr. Ryan Phasouk answered

Specializes in Family Medicine

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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Dr. Raj Borade answered

Specializes in Internal Medicine - Gastroenterology

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

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