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Acute Appendicitis
Discussion in 'All Categories' started by Ramesh - Dec 29th, 2023 7:10 pm.
What are the available treatment options for acute appendicitis?"
re: Acute Appendicitis by Dr. B. S. Bhalla - Dec 29th, 2023 7:15 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Acute appendicitis is a medical emergency that requires prompt medical attention. The standard treatment for acute appendicitis is surgical removal of the inflamed appendix, a procedure known as an appendectomy. There are different approaches to performing an appendectomy, and the choice of method may depend on factors such as the severity of the inflammation, the patient's overall health, and the surgeon's preference. The main types of appendectomy include:

Open Appendectomy: This is the traditional surgical approach where a single incision is made in the lower right abdomen, and the appendix is removed through that incision.

Laparoscopic Appendectomy: In this minimally invasive procedure, several small incisions are made, and a laparoscope (a thin, lighted tube with a camera) and other surgical instruments are inserted to remove the appendix. Laparoscopic appendectomy often results in a faster recovery, less postoperative pain, and smaller scars compared to open appendectomy.

Single-Incision Laparoscopic Surgery (SILS): This is a variation of laparoscopic appendectomy where all instruments are introduced through a single incision, typically in the patient's navel, further reducing visible scarring.

Antibiotic Therapy: In some cases, especially when surgery is not immediately possible or when the inflammation is mild, a short course of antibiotics may be administered to reduce inflammation and infection. However, this is usually a temporary measure, and appendectomy is typically recommended afterward to prevent recurrence.

The preferred method of treatment (surgery or antibiotics) may depend on factors such as the patient's overall health, the severity of the appendicitis, and the presence of complications. However, it's important to note that while antibiotics may temporarily alleviate symptoms, they are not considered a definitive cure for acute appendicitis.
re: Acute Appendicitis by Deepen - Feb 2nd, 2024 9:34 am
I am suffering from acute appendicitis. Is surgery the only option, or are there non-surgical alternatives?
re: Acute Appendicitis by Dr. Bishal - Feb 2nd, 2024 9:44 am
Dr. Bishal
Dr. Bishal
Acute appendicitis is typically treated with surgery, specifically an appendectomy, which involves removing the inflamed appendix. This is considered the standard and most effective treatment. If left untreated, appendicitis can lead to serious complications, such as a ruptured appendix, which can be life-threatening.

Non-surgical alternatives are generally not recommended for treating acute appendicitis because the condition can progress rapidly, and surgery is the most reliable way to address it. If you suspect you have appendicitis or are experiencing severe abdominal pain, it is crucial to seek immediate medical attention.

Always consult with a healthcare professional to discuss your specific situation, as they can provide personalized advice based on your medical history and current condition. If you're experiencing symptoms of appendicitis, it's important to seek prompt medical attention to determine the appropriate course of action.
re: Acute Appendicitis by Jagdeep - Jun 2nd, 2024 9:50 am
Having problem of acute appendicitis. What are the risks and benefits of the surgical options?
re: Acute Appendicitis by Dr. Rishi - Jun 2nd, 2024 10:00 am
Dr. Rishi
Dr. Rishi
Acute appendicitis typically requires surgical intervention to prevent complications. Here are the risks and benefits of the two main surgical options: laparoscopic appendectomy and open appendectomy.

Laparoscopic Appendectomy


Less Invasive: Smaller incisions, leading to less pain and scarring.

Faster Recovery: Shorter hospital stay and quicker return to normal activities.

Reduced Infection Risk: Lower risk of wound infections.

Better Visualization: The laparoscopic camera provides a better view of the abdominal cavity, which can help in diagnosing other conditions if present.


Complications from Anesthesia: As with any surgery requiring general anesthesia, there is a risk of adverse reactions.

Intraoperative Complications: Risk of injury to surrounding organs and structures, though this is relatively rare.

Conversion to Open Surgery: In some cases, the surgeon may need to switch to an open appendectomy if complications arise during the procedure.

Open Appendectomy


Proven Technique: Long history of successful outcomes.

Direct Access: Provides direct access to the appendix, which can be beneficial in complicated cases (e.g., ruptured appendix).

Simplicity: Typically shorter operating time compared to laparoscopic surgery in some cases.


Larger Incision: Larger incision leading to more pain, longer recovery, and a higher risk of infection.

Longer Hospital Stay: Generally involves a longer hospital stay compared to laparoscopic surgery.

Higher Risk of Complications: Higher risk of wound infections and hernias at the incision site.

Decision Making

The choice between laparoscopic and open appendectomy depends on several factors:

Patient's Condition: If the appendix has ruptured or there are complications, an open appendectomy might be preferred.

Surgeon's Expertise: Surgeons may prefer one technique over the other based on their experience and the specific situation.

Patient's Medical History: Previous abdominal surgeries or existing health conditions might influence the decision.


Laparoscopic Appendectomy: Generally preferred due to faster recovery, less pain, and lower infection risk, but with some risks associated with anesthesia and the need for potential conversion to open surgery.

Open Appendectomy: Useful in complicated cases, with a longer recovery period and higher risk of wound-related complications, but with direct access to the appendix and a long history of successful use.
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