Laparoscopic Appendectomy - Dr. Samrat Jankar

Dr. Samrat Jankar, one of the best gastroenterologist in Pune, is one of the most preferred surgeons for laparoscopic appendectomy in Pune for his extensive experience and expertise in this field. Laparoscopic surgery offers several benefits, including faster recovery and fewer trauma and complications.


Before beginning, let us first understand what an appendectomy is?

The surgical removal of the appendix is known as an appendectomy. Surgeons usually carry out this procedure on an emergency basis. The appendix is a small pouch attached to the large intestine near your abdomen's lower right part. Appendicitis is a painful condition that occurs when the appendix becomes infected.


Since the appendix may burst or rupture, allowing infectious contents to penetrate the abdominal cavity, doctors consider appendicitis a medical emergency.  To avoid complications, the doctor removes the appendix before it ruptures. The procedure is called an appendectomy.


What are the symptoms of appendicitis?

Appendicitis causes abdominal pain, which is most often felt around the bellybutton. The pain could also spread to the lower right side of your abdomen. Additional signs and symptoms of appendicitis include:


  1. Fever
  2. Diarrhea
  3. Nausea
  4. Vomiting
  5. Loss of appetite
  6. Frequent urination
  7. Painful urination

If the appendix bursts, the person is likely to have a high fever and extreme abdominal pain.



Why do you need an appendectomy?


If you have symptoms of appendicitis, you will need an appendectomy to remove your appendix which is inflamed, swollen, and infected.

There is a significant possibility that your appendix could burst or rupture if you have appendicitis. It can happen within 48 to 72 hours of the onset of symptoms. This can cause peritonitis, a life-threatening infection in your abdomen.


Procedure for appendectomy


An appendectomy is a surgical procedure typically done by keyhole surgery, also known as laparoscopic surgery. Compared to open surgery, this technique is less invasive. That’s why more and more people opt for laparoscopic appendectomy in Pune. According to Dr. Jankar, laparoscopic surgeon in Pune “laparoscopic appendectomy may be done on an outpatient basis so that the patient can be discharged to recover at home.” 


Step by step procedure for laparoscopic appendectomy:


  • Generally, this procedure is done under general anesthesia.
  • Dr. Samrat Jankar makes one to three small incisions in the abdomen and inserts a port, which is a special tool.
  • He uses this port to inject carbon dioxide into the stomach to inflate it and make the organs in the abdomen more visible.
  • The surgeon then inserts a laparoscope which has a lighted camera, into one of the incisions.
  • Other instruments are used to locate, position, and extract the appendix.
  • Dr. Jankar will then remove the appendix from one of the incisions, and sterile fluid is administered to remove any residual infectious material.


Then the surgeon removes the surgical instruments, allowing the carbon dioxide gas to escape, and uses sutures or bandages to seal the incisions. However, a laparoscope cannot always be used to complete the operation. If the surgeon cannot see the appendix well enough or if the patient has other health problems, in that case, the surgeon will perform an open appendectomy.



Recovery time


The recovery period depends on the severity of the infection and whether the appendix is ruptured or not. You will go home after 1-2 days in the hospital. But if the appendix has ruptured, you will have to stay in the hospital for longer. They will give you antibiotics and observe you for any signs of complications. Before you go home from the hospital. The surgeon will give instructions regarding restrictions and post-operation care to improve your recovery and minimize infection risk.




If you experience any of these symptoms during recovery, you should notify the doctor:


  • Vomiting
  • Fever more than 1010F
  • Severe abdominal pain
  • Not passing stool or gas for three days
  • Persistent pain
  • Swelling, redness, bleeding, or drainage from the incision site
  • Watery diarrhea for more than three days


Recovery tips


  • Do not lift objects weighing more than 10 pounds for few days after laparoscopic surgery.
  • Before touching the area near the incision site, thoroughly wash your hands with warm water and soap.
  • Follow the instructions of the doctor regarding bathing.
  • Regularly examine the bandages for signs of infection, such as redness or smelly drainage from the incision site.
  • Avoid wearing tight clothes that could rub against the incision sites and cause pain.
  • The doctor will prescribe pain relievers. He will advise you to drink more water to avoid bowel obstruction.
  • To reduce strain on the incision sites, place a pillow over the stomach and apply firm pressure before coughing or moving. It is known as splinting.

Frequently Asked Questions

The majority of people have no side effects from having their appendix removed. Still, some people may develop a bowel obstruction or an incisional hernia due to the procedure.

While there is no proof that appendicitis can be prevented, it is vital to see a doctor as soon as symptoms appear to avoid a ruptured appendix.

A blockage by stool or a foreign object causes appendicitis in the appendix, but it can also be due to cancer. If the appendix swells in response to an infection, a blockage can occur.


Relevant Questions

Q. What is colonoscopy and how does it help in treating colon cancer?

A colonoscopy is a procedure in which doctor examines the inside of your large intestine to seek for the cause of symptoms such as abdominal pain, rectal bleeding or changes in bowel habits.


To check the inside of the colon, doctor will insert a long, flexible tube with a camera on one end into the rectum. A particular diet may be required for 24-48 hours before to the surgery. In a process called as bowel prep, the colon will also need to be cleaned using strong laxatives.


If polyps are discovered in the colon, they will be removed by a surgeon and referred for biopsy. A pathologist examines the polyps under a microscope for malignant or precancerous cells during a biopsy.

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Q. What are the symptoms of Gastroesophageal reflux disease (GERD)?

Acid reflux is the most common symptom of GERD. Acid reflux can produce a burning sensation in your chest that spreads up into your neck and throat. Heartburn is a common name for this sensation.


You may get a sour or bitter taste in the back of your mouth if you have acid reflux. It may also cause food or liquid to regurgitate from your stomach into your mouth. Some other symptoms of GERD include:

  • Nausea & Chest pain
  • Pain when swallowing or may be difficulty in swallowing
  • Chronic cough
  • a hoarse voice
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