Laparoscopic Surgery and Laparotomy - two appendectomy techniques
Laparoscopic surgery involves small surgical incisions in the patient’s right lower quadrant. An endoscope and a cutting device are inserted and the appendix is removed. The incision is closed and no drains are needed unless an abscess is discovered.
Laparotomy is done if a more involved procedure is anticipated; for example, if the surgeon suspects abscess formation or perforation, or if laparoscopy is contraindicated because of intra-abdominal adhesions or advanced pregnancy, The surgeon makes an incision in the area of McBurney’s point and removes the appendix. He’ll probably insert a drain if an abscess is present.