Appendicectomy
Surgeries/General/Appendicectomy

Appendicectomy

Removal of the appendix in cases of appendicitis, most often performed laparoscopically, including as an emergency.

What is it?

Appendicectomy is the removal of the appendix, a small extension of the colon located in the lower right part of the abdomen. It is indicated in cases of acute appendicitis, that is, inflammation of the appendix — one of the most frequent surgical emergencies, typically presenting with abdominal pain, fever and nausea. The procedure is most often performed laparoscopically: three small incisions are enough to introduce the camera and instruments, locate the appendix, detach it and remove it. This minimally invasive approach allows complete exploration of the abdomen, an uncomplicated recovery and discreet scars. Treated in time, appendicitis heals without after-effects, and the absence of the appendix has no consequences for digestion or health. Prompt treatment is the key factor in avoiding complications. At Clinique Pasteur Tunis, appendicectomy is available at any hour thanks to the permanently open emergency department and operating theatres available day and night, for adults and children alike.
Appendicectomy

When is it indicated?

Acute appendicitis confirmed by clinical examination and imaging

Pain in the lower right abdomen, fever and nausea point to appendicitis: once the diagnosis is confirmed, prompt removal of the appendix allows a full recovery without after-effects.

Suspected appendicitis with suggestive clinical signs

When the signs are highly suggestive, it is sometimes safer to operate without delay: laparoscopy makes it possible to confirm the diagnosis and treat it at the same time.

Complicated appendicitis (abscess, localised peritonitis)

If the infection has spread around the appendix, the operation carefully cleans the area in addition to removing the appendix, with appropriate monitoring.

Documented recurrent pain in the right iliac fossa

Pain that keeps returning on the right side of the lower abdomen, once investigated and documented, may lead to removal of the appendix to resolve the problem for good.

Preparation

1Clinical examination, blood tests and imaging (ultrasound or CT scan)
2Fasting from the moment the diagnosis is suspected
3Assessment by the anaesthetist before the procedure
4Antibiotic therapy started according to protocol if necessary

Procedure

1

General anaesthesia

2

Three small incisions for laparoscopy

3

Exploration of the abdominal cavity

4

Detachment and extraction of the appendix

5

Local washing if necessary and closure of the incisions

Duration

30 minutes to 1 hour

Aftercare & Recovery

Recovery is generally straightforward: eating resumes quickly, discharge takes place after 24 to 48 hours in uncomplicated cases and normal activities are resumed within one to two weeks. Complicated cases require slightly longer monitoring.

Risks and side effects

Moderate post-operative pain, well controlled with painkillers
Infrequent wound infection, monitored during follow-up
Slightly longer recovery in cases of complicated appendicitis, supervised by the team

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