Appendix Surgery


The appendix is a wormlike appendage protruding from the first portion of the colon, also known as the cecum. Usually smaller than the patient's little finger. It can enlarge dramatically with acute appendicitis.

Causes of Appendicitis:

The most common cause is a blockage of stool called a fecalith. This blocks stool and mucus production from the appendix and causes pressure to build uo within the appendix. This can subsequently cause a lack of venous return or even arterial flow to the appendix itself. Occassionally, a tumor may present with symptoms of appendicitis.

Symptoms of Appendicitis:
The symptoms of appendicitis vary by patient. Classically, patients start out with a loss of appetite, followed by abdominal pain around the navel, which then moves to the right lower quadrant. Subsequently, the patient may have nauseam vomiting or fever.

Diagnosis of Appendicitis:
Appendicitis is traditionally a clinical diagnosis. Additionally, blood work and imaging like a CT scan helps in confirming the diagnosis.

Treatment of Appendicitis:
Traditionally, appendicitis is treated surgically. In a selected group of patients, management with admission for IV antibiotics has been studied recently with positive outcomes.


Dr. Paracha uses the latest minimally invasive techniques to perform appendectomies making recovery easier and faster. With years of experience, he has treated appendicitis with all its complex presentations including perforations, abscesses, tumors, etc. If you or someone you know is admitted with possible appendicitis to any of the hospitals Dr. Paracha has privileges in, please call him for an urgent evaluation.

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