Laparoscopic appendectomy
Surgeries/Laparoscopic/Appendectomy

Laparoscopic appendectomy

Removal of the appendix by laparoscopy in cases of appendicitis, with minimal scarring and rapid recovery.

What is it?

Laparoscopic appendectomy is the gold-standard treatment for acute appendicitis. It involves removing the inflamed appendix through very small incisions, under camera guidance, which limits post-operative pain and speeds up the return to daily activities. Laparoscopy also offers the advantage of exploring the entire abdominal cavity, which is invaluable when the diagnosis is uncertain, and of thoroughly washing the abdomen in cases of complicated appendicitis. At Clinique Pasteur Tunis, appendicitis is managed without delay, from admission to the emergency department through to the operating theatre, available day and night. The hospital stay is short and the patient goes home with simple instructions for convalescence.
Laparoscopic appendectomy

When is it indicated?

Acute appendicitis confirmed by clinical examination and imaging

When the appendix becomes infected, it must be removed quickly to prevent the infection from spreading within the abdomen.

Complicated appendicitis (abscess, localised peritonitis)

When the infection has already spread around the appendix, laparoscopy makes it possible to remove it and carefully clean the area.

Diagnostic uncertainty justifying exploration of the abdomen

When the cause of the pain is not certain, the camera allows the entire abdomen to be examined and whatever is found to be treated.

Recurrent right iliac fossa pain after specialist assessment

Pain that regularly returns in the lower right abdomen may justify removing the appendix, after evaluation by the specialist.

Preparation

1Emergency assessment: clinical examination, blood tests and imaging
2Fasting from the moment the diagnosis is suspected
3Intravenous drip and antibiotics started before the procedure if necessary
4Anaesthesia consultation carried out as an emergency

Procedure

1

General anaesthesia

2

Introduction of the camera and instruments through small incisions

3

Exploration of the abdominal cavity

4

Division and extraction of the appendix in a protective bag

5

Washing of the abdominal cavity if necessary

6

Closure of the incisions with absorbable sutures

Duration

30 minutes to 1 hour

Aftercare & Recovery

After uncomplicated appendicitis, eating resumes quickly and discharge generally takes place after 24 to 48 hours. Scars are discreet and the return to work or school usually occurs within a few days to a week.

Risks and side effects

Wound infection, uncommon with laparoscopy
Residual abscess in cases of complicated appendicitis, monitored and treated if needed
Transient abdominal pain related to the insufflation gas

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: 30 minutes to 1 hour
Preparation: Required
Dedicated specialist team