For many years, the human appendix has been casually dismissed as a “ineffective” vestige. Nevertheless, fashionable analysis and medical expertise counsel that this small, slender pouch, hooked up to the cecum within the decrease proper stomach, has a extra delicate function than as soon as believed.
“The appendix is like a haven for good micro organism, which helps the digestive system after sickness,” says Sugi Subramaniam, senior advisor, surgical gastroenterology, SRM World Hospital, Chennai. Moreover, publicity of white blood cells to antigens within the gastrointestinal tract can have an effect on the immune system, particularly early in life, he notes. Arunmoj Varman, advisor in laparoscopic and robotic hernia surgical procedure at Lila Hospital, Chennai, explains {that a} hernia is a lymphoid organ that helps the gut heal after an an infection.
“Whereas our ancestors could have wanted extra of the appendix in a time when meals cleanliness was unsure, it nonetheless quietly helps the immune system. It is a small, quiet job, however the appendix is not the waste we as soon as assumed,” emphasizes J. Saravanan, Senior Guide Gastroenterologist and Robotic Surgeon at VS Hospital, Chennai.
The size of the appendix is normally 7 to 10 cm, however its location and measurement range and might vary from 2 to twenty cm. Gautam Krishnamurthy, senior advisor and gastrointestinal surgeon at Apollo Hospitals, Chennai, provides that the appendix has traditionally been essential for digesting uncooked plant-based meals. Presently, it primarily capabilities as a helpful intestinal micro organism, serving to to guard and replenish intestinal micro organism after issues comparable to diarrheal ailments.
Acknowledge appendicitis
The appendix can change into infected, inflicting appendicitis, which is a typical emergency surgical procedure. Typical signs embrace stomach ache that begins close to the stomach button and strikes to the decrease proper facet, together with fever, nausea, vomiting, and lack of urge for food. Siddharth D., Guide Minimally Invasive Surgical procedure, SIMS Hospital, factors out that acute appendicitis impacts about 9% of the inhabitants, mostly of their 20s and 30s.
Appendicitis is brought on by a blockage of laborious stool (fecal stones), an an infection, or not often a tumor. Myths comparable to that fruit seeds trigger appendicitis or that the signs will heal on their very own are false. “Delays can result in rupture, which will be life-threatening,” warns Dr. Valman.
course of
Appendectomy is the definitive remedy. Minimally invasive surgical procedure consists of laparoscopic surgical procedure and robotic surgical procedure. “Most sufferers stroll the identical day and go house inside a day or two,” Dr. Saravanan says. Though this surgical procedure entails a small keyhole incision and digicam steering, open surgical procedure continues to be essential in complicated instances.
In some instances, uncomplicated appendicitis will be managed with antibiotics. Dr. Subramaniam explains, “Non-surgical strategies are initially efficient, however include the next threat of recurrence. Surgical remedy stays the usual long-term answer.” Research present that about 70% of uncomplicated instances reply to antibiotics, however recurrence charges can attain 40% inside a yr, particularly in sufferers with appendiceal stones or restricted entry to well being care, Dr. Krishnamurthy says.
myths and misconceptions
Docs usually encounter a number of misconceptions concerning the appendix. Though many individuals suppose it’s fully ineffective, the appendix is not important for survival, however it does home helpful micro organism and helps immunity. One other widespread fable is that having your appendix eliminated is dangerous to your long-term well being. The truth is, most sufferers lead a standard life with none dietary restrictions. As Dr. Arunmoj Varman factors out, “You possibly can nonetheless take pleasure in pizza and biryani!”
Some individuals suppose that appendicitis solely happens in younger adults, however it may possibly happen at any age, however it’s commonest in early maturity. There’s additionally a harmful assumption that house cures or ignoring the ache will work. If untreated, appendicitis can rupture and trigger critical issues. Dr. J. Saravanan emphasizes, “In case your physique is supplying you with robust alerts, hear. Come early and we’ll repair it earlier than it turns into an issue.”
restoration and way of life
Postoperative restoration is normally uneventful. Sufferers can relaxation for just a few days, keep away from heavy lifting for just a few weeks, and begin on a lightweight weight loss program. Lengthy-term way of life and well being results are minimal. Though short-term adjustments comparable to gentle bowel adjustment could happen, the minimally invasive approach reduces the chance of adhesions and issues.
Dr. Krishnamurthy recalled a case through the latest Diwali weekend during which a affected person delayed surgical procedure and had an emergency laparoscopic surgical procedure as a result of a extreme an infection. Such instances spotlight the significance of well timed intervention.
There is a purpose for that
Though the appendix is small, it performs a supporting function in immunity and intestinal well being. Acute appendicitis stays the commonest stomach surgical emergency. Early detection, correct medical analysis, and well timed remedy, ideally with minimally invasive surgical procedure, can guarantee a secure restoration and reduce long-term results.
“Life after appendectomy is totally regular, apart from uncommon issues. For many sufferers, life after appendectomy will probably be one thing they barely keep in mind. That is the very best end result we will hope for,” says Dr. Saravanan.
issued – December 22, 2025, 3:30 PM IST
