It involves the removal of the worm cast by a laparoscopic procedure. The appendix is attached to the cecum through a small stoma, and its inflammation is colloquially known as “appendicitis”, but the term is incorrect, as it does not correspond to the clinical picture, either anatomically or semantically. The appendix is part of our immune system, but its removal does not lead to a loss of quality of life. The advantage of laparoscopic surgery (laparoscopic laparoscopy) over traditional open worm removal through an abdominal incision is that the worm is removed through 3 incisions of 5-10 mm, so post-operative wound pain is minimal and recovery is faster.
The intervention is needed because of acute wormwood inflammation. The inflammation can be caused by a number of factors, usually the exact cause cannot be identified, but it is not necessary. If the inflammation progresses, the worm burrow may perforate and develop local and then generalised peritonitis with abscess formation in the pelvis and adjacent to the worm burrow. Along with the inflammation, bacteria can enter the circulation, causing bloodstream infection with potentially fatal outcomes.
The operation is performed under general anaesthesia, during which the abdominal cavity is inflated with carbon dioxide gas through a small incision above the navel using a special device. The laparoscope is a thin tube with a camera on the end, which is used to navigate inside the abdomen, to view the abdomen, and the operation can be followed on a large screen. The wormhole, with its small artery, is dissected out, closed with plastic clips, and then cut through.
The worm extension is removed through one of the small incisions and sent for histological examination. A silicone tube (drain) is left in the abdominal cavity if the surgical environment requires it. The surgical wounds are then closed. On average, the operation takes 20-30 minutes, which, together with the preparation, anaesthesia and closing steps, adds approximately 30-40 minutes to the operating time.
Acute wormwood inflammation cannot be treated conservatively. The only solution is surgery.
Post-operative pain in the surgical area, skin and tissue damage, inflammation, scarring, wound infection, numbness around the wound, deep vein thrombosis, inflammatory disease spreading to the ovaries in women.
After waking up, you can expect to experience some discomfort, and we will do our best to minimise this, or if it has developed, to alleviate it.
There may also be discomfort around incisions, which should also improve considerably with the use of painkillers.
You can usually be discharged from our clinic the day after surgery, after the abdominal drain (tube) has been removed. Rarely, there is still discharge through the tube, so it is safer to stay for an extra day.
When can I take a bath or shower?
There will be a clean cover dressing in the wound, which will be changed by appointment from time to time. You are welcome to wash the rest of the body, but keep the dressings completely dry for the first 48 hours. Avoid bathing or swimming until the stitches are removed, soaking the wound increases the likelihood of infection. Do not allow water to be directed onto the wound while showering during this period. You can shower for 1 week after surgery, but the wound must be carefully dried afterwards.
Exercise:
You will feel more tired in the few weeks after surgery, it is recommended to gradually resume your daily activity. For the first 6-8 weeks, avoid heavy physical work, lifting weights and intense sports activities.
Work:
Most people can return to work within 1-2 weeks.
Please avoid the immediate post-operative period:
