Appendicectomy (appendix removal)

Category: General & Abdominal Surgery · All general & abdominal surgery

Appendicectomy (appendix removal) — General & Abdominal Surgery

What it is

An appendicectomy is an operation to remove the appendix, usually because it is inflamed (appendicitis). It is most often done as keyhole (laparoscopic) surgery through three small cuts, sometimes as open surgery through a larger cut.

Why it is done

It is the standard treatment for appendicitis, preventing the appendix from bursting and causing widespread infection (peritonitis). In selected uncomplicated cases antibiotics alone are sometimes discussed, but surgery remains the usual recommendation.

How to prepare

Appendicitis is usually an emergency, so preparation is rapid: blood tests, scans or ultrasound to confirm the diagnosis, fluids and antibiotics through a drip, and fasting once surgery is planned.

What happens during the procedure

Under general anaesthetic, the surgeon removes the appendix and washes out the area if there has been infection. Keyhole surgery usually takes 30 to 60 minutes. The appendix is sent to the laboratory for confirmation.

Afterwards — recovery & results

Most people stay one to two nights after uncomplicated keyhole surgery (longer if the appendix had burst) and recover over one to two weeks, returning to work or school as advised. Wounds are small; you will be told how to care for them and what warning signs to watch for.

Risks & considerations

Risks include bleeding, wound or internal infection (including an abscess after a burst appendix), injury to nearby structures, blood clots and anaesthetic risks. Your surgical team will explain your individual picture.

Watch: Appendicectomy (appendix removal) videos

Real procedure videos from the MedicalVideos.com library. Some clinical footage is graphic — that is the nature of a medical video library.

Frequently asked questions

Will I be ill without my appendix?

No. The appendix has no essential known function in adults, and its removal does not affect digestion or immunity in any noticeable way.

Why keyhole surgery?

Smaller cuts usually mean less pain, a shorter stay and quicker recovery than open surgery, and the camera also lets the surgeon inspect the rest of the abdomen.

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Please note: This page is educational information about a medical procedure or test. It does not replace the instructions of your own care team, who know your situation and whose preparation, fasting and medication advice you should follow if it differs from anything here. If you have symptoms that worry you, or an appointment you do not understand, contact your clinical team.