An appendectomy is surgery to remove the appendix. The goal is to remove the appendix safely. In most cases, the surgery takes about 30 to 60 minutes. If your appendix has burst, surgery may take longer.
You may receive fluids, antibiotics, and other medicines through an IV (intravenous) line. Tell your healthcare provider if you are allergic to any medicines or have any other health concerns. You will be given anesthesia just before your appendectomy. This keeps you pain-free and allows you to sleep during the surgery.
Types of surgery
An appendectomy may be done in 2 ways. Your surgeon will discuss which method is best for you:
Open surgery. One incision (several inches long) is made in your lower right side. A bigger incision may be used if the appendix has burst.
Laparoscopic surgery. About 2 to 4 small incisions are used. One is near your belly button. The others are on other parts of your belly (abdomen). A thin tube with a tiny camera attached (laparoscope) is inserted through 1 incision. The camera shows the inside of your abdomen on a video screen. This image helps guide the surgery. Tiny surgical tools are inserted in the other incisions.
Finishing the surgery
In most cases, the full incision is closed with stitches or staples. Your surgeon may place a short-term (temporary) drain in the wound or in your abdomen. This helps remove any extra fluid. This may help prevent infection. This drain is usually taken out before you are discharged. If your appendix has burst, the outer layers of the incision may be left open. Leaving the skin open prevents infection from forming under the skin. It may heal on its own. Or it may be closed about 5 days later.
After the surgery
Keep any recommended follow-up appointments with your provider. After the surgery, your appendix is checked under a microscope. Your provider will tell you the results.
Risks and complications
Infection or bleeding from the incision site
Infection or swelling in the abdomen, or leakage of bowel material
Slowness of bowel muscles (bowel ileus) or bowel blockage
Problems from anesthesia
March 21, 2017
Krishna, V., Safety and efficacy of antibiotics compared with appendectomy for treatment of uncomplicated acute appendicitis, British Medical Journal (2012); pp. 1-15, Thompson, A., Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis, Journal of American Medical Association (2015); 314; pp. 314
Fraser, Marianne, MSN, RN,Lehrer, Jenifer, MD