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Appendicitis therapy in Munich

Appendicitis occurs when the appendix, a small worm like appendage to the large intestine, becomes inflamed. Appendicitis can occur at any age in any person. There are several causes of appendicitis. It may be caused by mechanical obstruction, such as a fruit seed obstructing the appendix, or sometimes by a bacterial infection. There are two forms of appendicitis: acute and chronic. Both can be dangerous if the appendix ruptures emitting bacterial and infected material (pus). Eventually, a ruptured appendix causes peritonitis and septic shock. Left untreated, mortality from appendicitis is high.

In most cases
an operation is necessary

Hospitalization mostly
2-3 Days

Able to work afer
a week


There may be typical or atypical symptoms for appendicitis. Pain may begin in the upper abdomen and spread to the navel and then to the lower right gut. It may become painful to walk, and patients may seek compensating positions such as pulling up the legs to relive the pain. There can be accompanying loss of appetite, nausea and vomiting. This may be accompanied by fever, though this is not necessary. Appendicitis can progress with atypical symptoms, where pain begins and remains in other parts of the abdomen usually the right side. The main complication by appendicitis is a ruptured appendix that allows infected pus to seep into the abdomen, leading to peritonitis and abscess. This condition is life threatening unless treated through surgery.


Three procedures are used to diagnosis appendicitis:

  • Physical examination for pain at certain points: McBurney’s point is tenderness in the right lower quadrant of the abdomen when light pressure with the fingertips is applied. The Lanz point is lower middle right side of the gut between the pelvic bones.
  • Laboratory examination: An inflamed appendix causes an increase in white blood cells in blood samples taken from the patient.
  • Ultrasound examination can be used to diagnose appendicitis.
  • A CT scan (Computed tomography) can be used to diagnose appendicitis, especially by a suspected abscess or ruptured appendix.
  • Women are referred to a gynecological examination is often used to rule out the possibility of infections in fallopian tube or ovaries.

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A conservative therapy is possible if the appendicitis is extremely mild, but it is only rarely suggested due to the possible complications of appendicitis. Following the diagnosis of appendicitis, the usual therapy is operative removal of the appendix.


Surgery is the best method of avoiding complications (Inflammation, rupture, abscess and peritonitis) arising from appendicitis. The surgical procedure removes the infected appendix (appendectomy) and is conducted under full anesthesia.

Minimal Invasive appendectomy

The preferred surgical method for an appendectomy is using a laparoscope. The main advantage using this method is that the laparoscopy is also a diagnostic tool for appendicitis or other possible causes of the symptoms, and is superior to the conventional surgical incisions in the lower abdomen. The minimal invasive procedure only requires a small incision near the navel. The laparoscope is inserted into the abdomen. A second small incision is made to insert further surgical instruments, the abdomen is expanded using CO2 gas to improve the camera view on the monitor. The appendix is then cut and removed.

Conventional appendectomy

The conventional surgical method requires a larger incision in the abdomen than the minimal invasive method. The incision is large enough that the surgeon actually views the entire intestinal region around the appendix, and can cut and remove it by hand. The entire wound is then sutured.


Appendectomy is performed often and is seldom accompanied by complications if performed early in the course of appendicitis. The laparoscope minimal invasive procedure heals quickly and allows for a faster introduction of normal diet. Usually a patient can leave hospital after 1-2 days, and can begin working again after a week’s convalescence.

Notice: Preoperative preparation: Please inform your physician if you are taking blood thinning medication such as Aspirin® and Marcumar® as they may lead to complications during surgery.

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