Appendicectomy Open

Open appendicectomy India

The open appendicectomy surgery involves the removal of the appendix using one incision on the lower right abdomen. It is normally carried out in cases where laparoscopic surgery is inapplicable because of some complications, absence of laparoscopic facilities, or overwhelming infection.

Indications

• Appendicitis (complicated cases in particular) acute.
• Perforated appendix and abscess.
• Appendicular mass or gangrene
• In case laparoscopic approach is not allowed.

Procedure Overview

• Anaesthesia: General anaesthesia is normally applied.
• Incision: The incision (usually 5-10 cm) is made at the right lower of the abdomen (McBurney point).
• Exposure: The abdominal wall is dissected in layers in order to reach the appendix.

Appendix Removal:

• It is identified, isolated and the base is made ligated.
• The appendix is removed.
• Cleaning of the Peritoneum: In case of perforation or infection, saline is applied to the area.
• Closure: Abdominal layers are closed using layers; the skin can be closed using sutures or staples.

Advantages

• Appropriate to complex or perforated appendicitis.
• Direct access to appendix
• Would respond faster to emergencies.

Factors Affecting Open appendicectomy surgery cost India

Open appendicectomy (open appendectomy) is a type of surgery with a wide range of prices in India depending on a number of factors. Here's a detailed breakdown:

Hospital Type & Location

• The Private Hospitals: These are highly-developed hospitals with specialized services and are more expensive.
• Metro Cities vs. Smaller Towns: Cities such as Delhi, Mumbai and Bengaluru usually have a high cost of medical services as opposed to smaller towns. 

Surgeon’s Expertise

• Surgeons with very much experience or skills can afford to charge more because of their experience and reputation. 

Type of Surgery

• The complexity and equipment used makes open appendectomy relatively less costly than laparoscopic surgery. 

Preoperative Diagnostic Tests

• Such tests as blood work, imaging (ultrasound, CT scans) and consultations may contribute to the total cost. 

Anaesthesia & Medications

• General anaesthetic treatments and postoperative drugs are added to overall cost. 

Hospital Stay & Room Type

• The length of stay and the kind of room (general, semi-private, and private) may be a major cost-factor. 

Follow-ups and Postoperative Care

• The wound care costs, the follow-up costs, and any complications can be a part of the total cost.

Best hospital for open appendicectomy in India

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Open appendix removal procedure India

The step-by-step description of the procedure of open appendix removal (open appendicectomy) follows:

Preoperative Preparation

• Diagnosis: Appendicitis is diagnosed by physical examination, laboratory tests, and CT scan or ultrasound.
• Fasting: Patient normally fasts 68 hours prior to surgery.
• Consent: Surgeon discloses risks and obtains consent.
• Antibiotics: Preventive antibiotics are administered to prevent infection.

Anaesthesia

• To ensure that a patient is conscious and painless during an operation, it is administered with the help of general anaesthesia.

Incision

• A tiny opening (5-10 cm) is done on top (lower right) of McBurneys point (abdomen).
• Skin, subcutaneous tissue and abdominal muscles are also separated very carefully.

Identifying the Appendix

• To reach the abdominal cavity the peritoneum is cut.
• These are the cecum and appendix.
• The presence of any infection, pus, or abscess is observed and debrided.

Removing the Appendix

• It is isolated and connected to the base of the appendix.
• Gangrenous or perforated surrounding tissues can also be cleansed, in the event they are inflamed.
• The appendix is excised and detached out of the stomach.

Cleaning & Irrigation

• The abdominal cavity is sprayed with sterile saline, in case of infection or pus.
• This has the advantage of preventing postoperative infections.

Closing the Incision

The layers of the abdominal wall are sutured in groups:

• Peritoneum
• Muscle layers
• Subcutaneous tissue
• Skin (staples or sutures)
• A drain can be inserted in case it was heavily infected or abscessed.

Postoperative Care

• Length of stay in hospital: 2-5 days (prolonged when perforated or infected).
• Pain management: Painkillers.
• Diet: Liquids, followed by solids.
• Activity: Light: avoid heavy lifting in 46 weeks.
• Wound management: Maintain a clean wound and check on infection.

Recovery after open appendicectomy India

The following is an elaboration of recovery following open appendicectomy:

Hospital Stay

Typically 2–5 days, depending on:

• Complication (perforation or abscess)
• General well-being of the patient.
• Speed of initial recovery

Acute Post-surgery Services

• Pain treatment: Analgesics or IV pain drugs are administered.
• Monitoring: Vital signs, wound, and infection are vigorously monitored.
• Drain care: In case a surgical drain has been inserted, this can stay 1-2 days to debride any excess fluid.
• Early movement: Within a day, it is important to motivate patients to walk to prevent the occurrence of blood clots and enhance bowel movements.

Diet

• First 24 hours: This is usually liquid only.
• Gradual increase: Soft food then to normal food as tolerated.
• Hydration: It is essential to avoid constipation and facilitate recovery.

Wound Care

• Maintain the incision clean and dry.

Note any evidence of infection:

• Redness
• Swelling
• Pus discharge
• Fever
• Sutures or staples tend to come out after 7- 10 days.

Activity Restrictions

• Light activity: 12 days post-surgical operation (walking, light movements).
• Heavy lifting or strenuous exercise- Avoid: 4-6 weeks.
• Driving: This should be done when pain can be managed and it is also necessary to move around.

Open appendicitis surgery India

Open appendicitis surgery is a surgery where the inflamed appendix is removed by using a single incision at the lower right abdomen. It’s usually performed when:

• Laparoscopic surgery is not possible.
• The appendix is perforated or is abscessed.
• There is complicated or severe appendicitis.

Conclusion

Open appendicectomy is safe, effective, and widely applied surgical procedure of treating appendicitis, where the cases can be complicated, perforated, or unsuitable in laparoscopic surgery. Although it comes with an extended incision and an extended recovery period, as opposed to laparoscopic surgery, it offers direct access to the appendix and lets clean up any infection deep inside. Most patients can regain full health in 4-6 weeks with appropriate preoperative care, competent surgical care and close attention in postoperative care. The knowledge of possible complications, proper wound treatment, and slow resuming of normal life will contribute to a smooth healing process and minimum of long-term problems. Open appendicectomy is still a good option when there is an emergency or in places whereby minimally invasive surgery cannot be done.

Open appendicectomy in India GetWellGo

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FAQ

1. What is the duration of the operation?

• The process lasts about 30-60 minutes, depending on the complexity as well as the presence of infection or abscess.

2. Is an open appendicectomy a painful procedure?

• The pain after surgery is also usual and can be treated using analgesics. Suffering tends to go away within several days.

3. How long is the hospital stay?

• The typical length of hospitalization is 2 to 5 days, and it is prolonged when the appendix was perforated or there were complications.

4. Is it possible to eat normally after surgery?

• One should begin with liquids first and then slowly transition to soft food and normal diet as tolerable.