Appendix removal (appendicectomy) in Niš
Appendicectomy is the removal of the appendix, laparoscopically or open. With sudden severe abdominal pain call the emergency service (194) or go to an emergency department.
At a glance
- Procedure
- Removal of the appendixmedical term: appendicectomy
- Method
- Laparoscopic or openas assessed by the surgeon
- Anaesthetic
- usually Generalsuggested by the anaesthetist
- Severe abdominal pain
- Emergency service 194or the nearest emergency department
Facts and description
Appendix removal (appendicectomy) is the removal of the appendix, a narrow outgrowth at the beginning of the large bowel, usually because of inflammation. At Maja Hospital, Vizantijski bulevar 39 in Niš, the price list includes open and laparoscopic appendicectomy and complex laparoscopic appendicectomy, and the surgeon suggests the method after a consultation. Sudden severe abdominal pain needs emergency help: call 194.
All facts
- Procedure
- Removal of the appendix
- Methods
- Laparoscopic (several small cuts) or open surgery, through a cut in the lower right abdomen
- Anaesthetic
- Usually general. The anaesthetist suggests the type.
- Hospital stay
- Depends on the method and recovery; it is longer after open surgery or if the appendix has burst. The surgeon decides on discharge.
- Emergency
- Sudden severe abdominal pain: emergency service 194 or the nearest emergency department
- Price
- Items for appendicectomy, laparoscopic and complex laparoscopic appendicectomy are in the price table on this page.
When appendix removal is done
- The surgeon suspects appendicitis after examination, tests and imaging
- Recurrent appendicitis
- The surgeon decides that removal of the appendix is needed
Can it be treated without surgery?
- In some adults with uncomplicated inflammation the doctor may suggest antibiotics
- Such treatment is not suitable for everyone, and the inflammation may come back
What the operation looks like
Step 1: Assessment
The surgeon examines you and reviews blood tests and, if needed, ultrasound or CT.
Step 2: Preparation and anaesthesia
The anaesthetist sees you and suggests the anaesthetic, usually general.
Step 3: Operation
The appendix is removed laparoscopically, through several small cuts, or open, through one cut.
Step 4: Monitoring
You are monitored until you recover from the anaesthetic; getting up early is encouraged.
Step 5: Discharge and follow-up
The surgeon decides on discharge; you receive a discharge letter and a follow-up date.
Appendix removal: prices
Recovery
- Pain and discomfort around the wound are expected in the first days. The surgeon prescribes pain relief.
- Walking is encouraged from the first days, and daily activities are resumed gradually.
- Keep the wound clean and dry. The surgeon will tell you when you can shower, and when you can take a bath or swim.
- Stitches, unless they are dissolvable, are removed at the follow-up appointment.
- With severe abdominal pain, difficulty breathing or chest pain, call the emergency service on 194 or go to the nearest emergency department.
Show 3 more: Recovery
- Lifting and heavy physical effort are avoided for as long as the surgeon advises.
- After a general anaesthetic, do not drive for at least 24 hours and have someone with you for the first 24 hours.
- Contact the surgeon if you develop a temperature of 38 °C or higher, redness, pus or heavier bleeding from the wound, pain that gets worse, or nausea and vomiting that do not stop.
How to prepare
- With severe abdominal pain do not wait for a booked appointment: call 194 or go to an emergency department.
- Do not eat or drink until a doctor has examined you, as an operation may be needed the same day.
- Tell the doctor about allergies, your medicines (especially blood thinners) and previous operations.
- Bring your ID card, health insurance card, results and a list of medicines.
- Blood tests, an ECG and imaging are decided by the surgeon and the anaesthetist.
When to call the emergency service straight away
Call the emergency service (194) or go to an emergency department straight away if:
- Sudden, severe abdominal pain
- The pain moves to the lower right abdomen and gets worse
- Pain with vomiting and a high temperature
- The abdomen is hard and painful to touch
Contact the surgeon if after the operation you have:
- A temperature of 38 °C or higher, or shivering
- Redness, warmth, swelling or pus at the wound, or heavier bleeding
- Pain that gets worse instead of better
- Nausea or vomiting that do not stop
- Pain and swelling in the calf
In detail
What is the appendix and why is it removed?
The appendix is a narrow outgrowth at the beginning of the large bowel, usually in the lower right abdomen. When it becomes inflamed, this is called appendicitis. An inflamed appendix can burst and cause inflammation of the lining of the abdomen (peritonitis), so appendicitis is usually treated with an operation to remove the appendix, called an appendicectomy.
The surgeon decides after an examination, blood tests and, if needed, ultrasound or CT. In some adults with uncomplicated inflammation the doctor may suggest antibiotics instead of surgery. This is not suitable for everyone, and the inflammation may come back.
Laparoscopic or open surgery
Laparoscopic surgery is done through several small cuts, through which the surgeon inserts a thin camera and instruments. Open surgery is done through one cut a few centimetres long in the lower right abdomen. Each method has its risks, and laparoscopy is not suitable for every patient. Sometimes the surgeon switches to open surgery during the procedure if that is safer.
The Maja Hospital price list has three items: appendicectomy (open), laparoscopic appendicectomy and complex laparoscopic appendicectomy. Which item applies is known only after the examination, and sometimes only during the operation.
Severe abdominal pain: when to call the emergency service
Appendicitis needs urgent assessment. The pain often starts around the navel and moves to the lower right abdomen, and may be accompanied by nausea, vomiting, loss of appetite and a raised temperature. With sudden severe abdominal pain do not wait for a booked appointment: call the emergency service on 194 or go to the nearest emergency department. This page describes the operation and the price list of Maja Hospital; please check by phone whether the hospital accepts emergency patients.
Frequently asked questions
How much does appendix removal cost in Niš?
The Maja Hospital general surgery price list has three items: appendicectomy, laparoscopic appendicectomy and complex laparoscopic appendicectomy. All are in the price table on this page. The surgical consultation and the hospital day are separate items.
What is an appendicectomy?
An appendicectomy is the medical term for the operation to remove the appendix. It is done laparoscopically, through several small cuts, or open, through one cut in the lower right abdomen.
What should I do if I have severe abdominal pain?
With sudden severe abdominal pain, especially with vomiting and a raised temperature, do not wait for a booked appointment: call the emergency service on 194 or go to the nearest emergency department.
Can appendicitis be treated without surgery?
In some adults with uncomplicated inflammation the doctor may suggest antibiotics instead of surgery. This is not suitable for everyone, and the inflammation may come back. The surgeon decides after an examination.
Can you live normally without an appendix?
Yes. People without an appendix live normally, and a special diet is usually not needed after recovery.
← General and abdominal surgery
The information in this text is general in nature and does not replace an examination by a doctor.
Book an appointment: Appendix removal
Information on this website does not replace a medical examination. Treatment is decided by a doctor after the examination.