Laparoscopic Appendectomy
Gold standard keyhole removal of the inflamed appendix — less pain, faster recovery, lower infection rate.
What is Laparoscopic Appendectomy?
Laparoscopic appendectomy is the gold standard treatment for acute appendicitis. Through 3 small keyhole incisions under general anaesthesia, the inflamed appendix is identified, ligated, and removed. It offers significantly less pain, a shorter hospital stay, lower wound infection rates, and faster return to normal activities compared to open appendectomy. Dr. Tagore Mohan Grandhi performs laparoscopic appendectomy as a 24/7 emergency procedure. Even for perforated appendicitis, the laparoscopic approach allows thorough four-quadrant peritoneal lavage under magnification.
How the Procedure Works
Emergency Assessment
Alvarado score, blood tests, and CT scan confirm appendicitis and assess for perforation or peritonitis.
Laparoscopic Access
Three incisions: 12 mm umbilical, 5 mm suprapubic, 5 mm left iliac fossa. CO₂ insufflation creates working space.
Appendix Identification
Caecum and appendix visualised. Position confirmed. Severity of inflammation and peritoneal contamination assessed.
Appendix Removal
Mesoappendix divided with harmonic scalpel. Appendix base ligated with Endoloop or stapler. Appendix placed in retrieval bag.
Lavage and Extraction
For perforated cases, thorough four-quadrant washout performed. Appendix extracted in bag without wound contact.
Outcomes
Who Needs This Treatment?
- →3 small keyhole incisions — significantly less post-operative pain than open surgery
- →1–2 day hospital stay versus 2–4 days for open appendectomy
- →Return to school and work in 1–2 weeks versus 3–4 weeks after open surgery
- →Lower wound infection rate — appendix removed in a sealed retrieval bag
Laparoscopic appendectomy is the gold standard — 3 small incisions, home in 1–2 days, back to school or work in a week. Even for perforated cases, we can lavage all four quadrants thoroughly under laparoscopic vision.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Tagore Grandhi and get a personalised treatment plan.