What's involved in Laparoscopic Appendicectomy?

An appendectomy is the surgical removal of the appendix. It’s a common emergency surgery that’s performed to treat appendicitis, an inflammatory condition of the appendix.

During a laparoscopic appendicectomy, a surgeon accesses the appendix through a few small incisions in your abdomen. A small, narrow tube called a cannula will then be inserted. The cannula is used to inflate your abdomen with carbon dioxide gas. This gas allows the surgeon to see your appendix more clearly.

Once the abdomen is inflated, an instrument called a laparoscope will be inserted through the incision. The laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The camera will display the images on a screen, allowing the surgeon to see inside your abdomen and guide the instruments. When the appendix is found, it will be tied off with stitches and removed. The small incisions are then cleaned, closed, and dressed.

Recovery: overnight stay in hospital. No heavy lifting for 4 weeks.

What's involved in open hernia surgery?

Your surgeon makes an incision at the site of the hernia. The protruding tissue and organs are pushed back into the abdominal cavity and the muscles are stitched together. This repairs the defect. Surgical mesh is usually placed over or under the muscles to add support. This can often help to prevent a recurrence of the hernia. After surgery you will be required to stay in hospital overnight.  

What's involved in gallbladder removal?

A laparoscopic cholecystectomy (gallbladder removal) is performed through 4 small incisions in the abdomen. A laparoscope with a small video camera attached is inserted through an incision in the naval. This allows your surgeon to view your gallbladder on a video monitor to excise it. The gallbladder is then removed through one of the incisions.

Sometimes your surgeon may find, after the procedure has been started, that it is unsafe to remove your gallbladder by this method due to unexpected findings. If this is the case, then your surgeon will remove the gallbladder through a larger incision in the abdomen.

Laparoscopic Surgery

Laparoscopic repair can also be used to treat hernias. The surgery is performed through several small incisions in the abdomen. A laparoscope is inserted through a small incision in the navel. A video camera attached to this scope allows your doctor to view the hernia on a video monitor. Carbon dioxide gas is blown into the abdominal cavity to lift the abdominal wall. The is to improve the surgeon’s view of and access to the area. The surgeon clears away tissue around the hernia and withdraws the sac from the hole in the muscles. The hole is then covered with surgical mesh. The tear in the abdominal wall is not stitched together. The surgical mesh is anchored to the muscles with special staples that may be dissolvable or permanent. When the repair is done all the instruments are removed from the abdomen. The small incisions are closed with stitches.