Appendectomy: Removing the Appendix

An appendectomy is a surgical procedure used to remove the appendix when it becomes inflamed or infected, a condition known as appendicitis. The appendix is a small tube-like organ located in the lower right side of the abdomen. “Appendectomy is surgery to remove an inflamed or infected appendix (appendicitis). Because an inflamed appendix has the potential to rupture, appendicitis is a medical emergency” (Cleveland Clinic). A ruptured appendix can spread infection throughout the abdomen and lead to life-threatening conditions such as peritonitis or sepsis. Appendectomy remains the safest and most effective treatment for appendicitis with a success rate of over 95%.

There are 2 main types of appendectomy: Open appendectomy and laparoscopic appendectomy. In an open appendectomy, the surgeon makes a single larger incision in the lower right abdomen to remove the appendix. This method is necessary if the appendix has ruptured or an infection has spread. However, a laparoscopic appendectomy uses 1-3 tiny incisions and a small camera called laparoscope to guide the removal of the appendix. “A laparoscopic appendectomy may cause less pain and scarring than an open appendectomy” (John Hopkins medicine). This easier approach allows patients to recover more quickly and typically results in shorter hospital stays. During either procedure, the appendix is tied off with sutures and removed and the area is cleaned to prevent infection. 

Recovery after the surgery depends on the type of surgery and the patient's health. Most patients who have the laparoscopic surgery can go home the same day, while those with complications or open surgery may stay in the hospital for a few more days. Side effects such as mild pain, bloating, or fatigue are common but usually improve within a few days. Patients are encouraged to walk and move around to prevent any blood clots, but should avoid heavy lifting until cleared by their doctor. Most people can return to work or school within 1-3 weeks. With proper care, recovery is smooth and individuals can live a normal, healthy life without their appendix.

Written by Malak Ibrahim at Incisionary

References

KM NU Hospital. (2024, September 19). Appendix removal surgery: Understanding its causes & symptoms. KM NU Hospitals. Retrieved October 10, 2025, from https://www.kmnuhospitals.com/blog/appendix-removal-surgery

Cleveland Clinic. (n.d.). Appendectomy. Retrieved October 10, 2025, from https://my.clevelandclinic.org/health/procedures/21922-appendectomy

Johns Hopkins Medicine. (n.d.). Appendectomy. Retrieved October 10, 2025, from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/appendectomy