The appendix is a closed-ended, narrow tube that attaches to the rectum (the first part of the colon)�like a worm.�Appendicitis�is inflammation of the appendix. Sometimes, the body is successful in containing ("healing") the appendicitis without surgical treatment if the infection and accompanying inflammation do not spread throughout the abdomen.

Causes

The causes of appendicitis are not well understood. A number of factors are thought to be responsible for the disease. One is an obstruction (blocking) within the appendix. Another is the development of ulceration (a sore) within the appendix. A third factor is a bacterial infection.

Symptoms

The main symptom of appendicitis is abdominal pain that is poorly localized and is, not confined to one spot. A diseased appendix needs to be taken out and the procedure is known as�appendicectomy.

The appendix may be taken out laparoscopically, or by the open method. The method chosen will be based on the doctor’s judgment. The open method is the one that is more widely performed. A suitable incision is made in the skin and muscle over the appendix. The appendix is removed and the hole in the bowel is closed and the incision is closed.

Two or more small incisions are made on either side of the tummy. A very narrow instrument called a laparoscope is passed through one of the wounds. The surgeon can see the inside of the tummy using a television screen. Special narrow instruments are passed through the other wounds. The appendix is freed and brought out through one of the wounds. The wounds are then closed surgically. If the appendix cannot be safely taken out this way, then a bigger wound is needed to do the job. The surgeon can only tell at the time of the operation.

General anesthesia�is used for this procedure. The patient can resume basic activities after 24 hrs. A plastic drain tube running down the back of the nose to drain the stomach will be kept for a few days. Other required salts are given as an IV. Also a drain for residual blood and fluids are attached to the site of surgery for a day or till such time the area of surgery is drained of fluid contents.

The chances of complications following an appendicectomy are more if there is the appendix bursts and an infection develops in the tummy. If the appendix does not burst, the overall chances of complications after the operation are very low.

The other general procedures are:

• Abdominal or Thoracic Aortic Aneurysm Surgery
  
• Abdominoplasty
  
• Hemorrhoidectomy�.� etc

Few Major Hospitals for Appendicectomy are:

• Wockhardt Hospitals
  
• Apollo Hospitals
  
• Max Healthcare
  
• Piyavate Hospital
  
• Florence Nightingale Hospital
  

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