Appendectomy
Open surgical removal of the inflamed appendix — used for complicated cases or when laparoscopic conversion is required.
What is Appendectomy?
Open appendectomy is the traditional surgical treatment for acute appendicitis, performed through a right iliac fossa (McBurney's) incision. It remains the preferred approach for perforated appendicitis with dense adhesions, when laparoscopic access is not feasible, or when laparoscopic conversion is required during surgery.
Dr. Tagore Mohan Grandhi performs open appendectomy when indicated. The open approach provides direct access for dense inflammatory adhesions, thorough pericaecal abscess drainage, and conversion from laparoscopic appendectomy when anatomy is complex.
Suitable for patients with acute appendicitis where laparoscopic approach is not feasible, including perforated cases with dense adhesions, complex phlegmon, or when conversion from laparoscopic to open surgery is required.
How the Procedure Works
Emergency Assessment
Alvarado score, blood tests, and CT scan confirm appendicitis and assess for perforation or phlegmon.
McBurney's Incision
Transverse or oblique incision made at McBurney's point in the right iliac fossa. Muscles split in layers under direct vision.
Appendix Delivery
Caecum delivered into the wound. Mesoappendix divided with haemostasis.
Appendix Removal
Appendix base ligated and divided. Stump inverted or ligated. Wound irrigated.
Closure
For perforated cases, thorough irrigation and drain placement. Wound closed in layers. Recovery in 2–4 days.
Outcomes
Who Needs This Treatment?
- →Direct access for dense adhesions, phlegmon, and complex peritoneal contamination
- →Suitable when laparoscopic access is limited by obesity or anatomy
- →Safe conversion from laparoscopic without delay when required
- →Equally effective and curative as laparoscopic appendectomy
Open appendectomy remains a crucial surgical technique — for complex perforated cases or when laparoscopic access is not possible, it provides direct, reliable access for a complete and safe procedure.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Open Appendectomy Cost in Hyderabad
The cost of Open Appendectomy in Hyderabad depends on factors such as the severity of appendicitis, presence of complications, emergency requirements, investigations needed, hospital stay, and post-operative care.
For patients with perforated or complicated appendicitis requiring open surgery, the approximate cost of Open Appendectomy ranges between ₹35,000 and ₹70,000.
| Procedure | Approximate Cost Range |
|---|---|
| Open Appendectomy | ₹35,000 – ₹70,000 |
The final cost may vary depending on your individual condition, severity of infection, surgical findings, hospital stay, medications, and recovery requirements.
Factors That Influence Open Appendectomy Cost
The overall cost may depend on:
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Severity of appendicitis: Complicated cases such as perforation, abscess formation, or infection spread may require additional care and monitoring.
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Pre-operative evaluation: Blood tests, imaging such as ultrasound or CT scan, medical assessment, and emergency evaluation may contribute to the overall cost.
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Surgical requirements: The complexity of surgery, anaesthesia, hospital admission, medications, and post-operative monitoring can influence the final estimate.
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Recovery and follow-up care: Antibiotics, wound care, dietary guidance, and follow-up consultations may affect the overall treatment cost.
Is Open Appendectomy Covered by Insurance?
Open Appendectomy performed for medically necessary treatment of appendicitis may be covered by health insurance. Coverage depends on your insurance policy, inclusions, and insurer approval process.
Our insurance support team can assist you with checking policy coverage, required documentation, cashless approval process, and insurance-related queries before surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your symptoms, investigation reports, and severity of appendicitis to determine the appropriate treatment approach. He will explain the procedure, recovery process, and provide an estimated cost based on your individual condition and treatment requirements.
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