What is Appendicitis?

Appendicitis is the inflammation of the appendix, a small tubular structure at the junction of the small intestine and the beginning of the large intestine on the right side of the abdomen. Although the appendix may seem functionless, it may play a role in the body’s defence against bacteria. It helps boost the immune system by storing beneficial bacteria, which can assist in fighting infections when harmful bacteria overwhelm the body’s defences. When the appendix becomes inflamed, surgery is typically required to resolve the condition.

What are the Causes of Appendicitis?

Appendicitis can occur due to an overwhelming infection caused by bacteria, viruses, or parasites. It can also result from food particles that form stones, blocking the appendix’s lumen, or, though rarely, from tumors.

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What are the symptoms of Appendicitis?

The main symptoms of appendicitis include pain in the right lower abdomen, which may initially start around the umbilicus. This pain is often accompanied by nausea, vomiting, and possibly fever.

Diagnosis of Appendicitis

Doctors typically diagnose appendicitis based on symptoms and physical examination. To confirm the diagnosis, they often request an ultrasound (US). A CT scan may be used to identify the underlying cause and detect any related or complicated issues if necessary.

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Why is an Appendix Surgery necessary?

When inflammation occurs in the body, toxins can be released into the bloodstream. This increases the risk of toxicity and allows the infection to spread, potentially causing damage to surrounding organs and other parts of the body. Medical management with antibiotics may help, but there is a high chance that the inflammation and infection will recur. There is also a risk that the appendix may lose its blood supply or burst, causing sepsis. This makes appendix removal surgery a necessary intervention and the only definitive, permanent solution to the problem.

How do you prepare for Appendix Surgery?

You usually do not have time to prepare for surgery, as appendicitis is an acute condition that presents as an emergency requiring urgent treatment.
However, some general guidelines should be followed:

  • Compile your medical history and discuss all your concerns, fears, and family history of similar conditions with your doctor. Include your complete medical and therapeutic history, as well as all medications you are currently taking. Follow your doctor’s advice regarding which medications to stop and which to continue before the surgery.
  • Typically, blood anticoagulation drugs should be discontinued one week prior to surgery to reduce the risk of bleeding. If the operation is urgent, appropriate measures will be taken to minimize the risk of bleeding.
  • Ensure you fully understand the goals of the surgery, along with the associated risks and potential complications. Additionally, follow your doctor’s instructions regarding fasting and eating habits before the surgery. Typically, patients are advised to fast for 12 hours prior to the procedure.

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Type of Appendix Surgery (appendectomy)

Open Appendectomy

An open appendectomy is performed through an incision approximately 5 cm in length in the right lower abdomen under general anesthesia. The surgeon makes an incision through the skin, subcutaneous tissue, and deeper layers until reaching the inflamed appendix. The appendix is then removed and sent to the lab for analysis to check for tumors or foreign tissue. The incision is then closed. This operation typically takes between 30 minutes and 1 hour. Rarely, a larger incision may be needed if unforeseen complications arise.

Laparoscopic Appendectomy (Key Hole surgery)

The advanced appendix laparoscopic surgery involves making a few small punctures in the abdomen. Through these punctures, the appendix surgeon inserts a camera and surgical tools to perform the appendectomy under general anesthesia. This method is performed inside the abdomen without making a large open wound.

Appendix Surgery (appendectomy) aftercare

Patients are advised to consume only clear fluids for the first day after surgery. Soft foods can be introduced over the following 2 to 3 days. After this period, they can gradually return to a normal diet, with an emphasis on increasing fluid and fibre intake to avoid constipation and straining, which can impair healing.

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Possible complications and long-term risks

Typically, appendectomy is considered a safe procedure, as it rarely induces any complications or long-term risks. However, a few cases may report bleeding, wound infection at the site, intestinal obstruction, or injury to adjacent organs.

Why Choose Reem Hospital for Appendix Removal?

At Reem Hospital Abu Dhabi, we offer a revolutionary range of advanced appendix removal surgery.

  • Experienced Doctors: Our surgeons are skilled in utilizing the latest technologies for precise, effective treatment, ensuring faster recovery, reduced discomfort, and minimal scarring.
  • Personalized Care: With our expertise and experience, we guarantee optimal results and care tailored to your needs.
  • State-of-the-art laparoscopic procedures
  • Minimally invasive strategies, and complex surgical interventions

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Written By
Dr. Rahaf Wagdy

Medical Content Writer

Dr. Rahaf Wagdy is an Egyptian nuclear radiologist and medical content creator who merges her clinical expertise with digital creativity. With over five years of experience in medical content writing in both Arabic and English, she is dedicated to simplifying...

Medically Reviewed By
Dr. Balaji Nagammapudur

Consultant Bariatric, Upper GI & General surgeon

Dr. Balaji is a British Board-certified General, Laparoscopic, Upper GI, and Bariatric surgeon with over 30 years of surgical experience. After completing his initial medical education and primary surgical qualifications in South India, he completed his higher surgical training in...

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FAQs on Appendix Surgery

  • How long does appendix surgery take?

  • What Happens if Appendicitis is Left Untreated?

  • Cost of Appendix Surgery (appendectomy) in Abu Dhabi, UAE

  • What is the recovery time after an appendectomy?

  • What type of specialist performs an appendectomy?

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