What is laparoscopic appendectomy?
During the operation, the vermiform appendix, the source of the inflammation, is removed.
The laparoscopic approach makes it possible to:
- confirm the diagnosis
- examine all the abdominal organs
- detect possible complications of appendicitis
- treat another condition at the same time if it is the cause of the pain
In most cases, laparoscopic surgery is the method of choice.
Our approach
At MSI, acute appendicitis is treated in line with guidelines from the *WSES (World Society of Emergency Surgery) and SAGES*.
Before surgery, the patient undergoes a clinical examination, laboratory tests, and, when indicated, ultrasound or computed tomography.
*We aim to perform appendectomy laparoscopically in all patients when it is safe and technically feasible.* This approach provides better visualization, allows thorough cleansing of the abdominal cavity in complicated appendicitis, and supports faster recovery.
In cases of perforation, peritonitis, or an appendiceal abscess, the treatment strategy is determined individually.
Postoperative care follows the principles of *ERAS (Enhanced Recovery After Surgery)*.
When is surgery needed?
Laparoscopic appendectomy is performed for:
- acute catarrhal appendicitis
- acute phlegmonous appendicitis
- gangrenous appendicitis
- perforated appendicitis
- appendicitis with localized or generalized peritonitis
- recurrent appendicitis (in certain cases)
Indications for surgery
Surgery is recommended for:
- confirmed acute appendicitis
- a high clinical suspicion of appendicitis
- complications (perforation, abscess, peritonitis)
- ineffective conservative treatment in selected patients
How is the operation performed?
The procedure is performed under general anesthesia.
Laparoscopic instruments and a camera are inserted through small punctures. After the abdominal organs are explored, the appendix is mobilized, its vessels are coagulated or clipped, and the base of the appendix is closed with ligatures, clips, or an endoscopic stapler, after which it is removed.
In complicated appendicitis, the abdominal cavity is cleansed and irrigated, and a drain is placed if necessary.
The removed appendix is sent for histopathological examination.
Advantages of laparoscopic surgery
- Minimal surgical trauma
- Less postoperative pain
- Fast return to physical activity
- Lower risk of wound infection
- Better cosmetic result
- Full exploration of the abdominal cavity
- Shorter hospital stay
- Faster return to everyday life
Recovery after surgery
Postoperative treatment follows *ERAS* principles.
In most cases, the patient gets up just a few hours after surgery and gradually resumes eating. The length of the hospital stay depends on the form of appendicitis and the presence of complications.
After an uncomplicated laparoscopic appendectomy, a return to normal activity is possible within 1--2 weeks.
Our advantages
- Extensive experience in emergency laparoscopic surgery
- Use of modern minimally invasive technology
- Treatment of both uncomplicated and complex forms of appendicitis
- Emergency surgical care around the clock
- Adherence to WSES and SAGES international guidelines
- Enhanced recovery program (ERAS)
Frequently Asked Questions
In most cases, yes. Surgical removal of the appendix is the standard treatment for acute appendicitis. Conservative treatment with antibiotics is possible only in carefully selected patients.
Yes. In most cases, even with perforated appendicitis and peritonitis, the laparoscopic approach is possible and safe if the patient's condition allows it.
A laparoscopic appendectomy usually takes *30--90 minutes*, depending on the complexity of the inflammation.
After an uncomplicated operation, most patients return to their normal life within *1--2 weeks*, and after complicated forms of appendicitis, once they have fully recovered.
A special long-term diet is usually not needed. Easily digestible food is recommended in the first days, after which most patients gradually return to their usual diet.