Laparoscopic appendectomy for gangrenous appendicitis (video).

We present two similar cases of laparoscopic appendectomy performed at the “Аjapnyak” Medical Center. The surgeries describe extremely complex and already decomposed appendices. In both cases, our patients were discharged from the surgical department on the second day.

Today on our YouTube channel, a very interesting operation performed at the “Ajapnyak” medical center will be shown. (See video link at the end of the text) A 72-year-old woman with acute cholecystitis turned to our center. The patient has been suffering from gallstone disease for many years. Upon admission, CT and CT scans revealed cholecystitis, an enlarged gallbladder, and severe edema of the neck of the gallbladder, where there is an obstructing calculus that has also dropped into the proximal part of the neck and is located at the junction of the common bile duct. There is also free fluid in the abdominal cavity around the gallbladder. According to laboratory tests, the patient’s liver enzymes are elevated, and there is also hyperbilirubinemia (due to direct bilirubin). There are no accompanying illnesses. Blood pressure, type 2 diabetes. Previous surgeries include appendectomy and cesarean section. The patient underwent laparoscopic cholecystectomy, intraoperative cholangiography, and gallbladder stone removal. Sanitation of the abdominal cavity, drainage. The postoperative period was uneventful. The patient was discharged from the “Ajapnyak” medical center on the third day. The bilirubin level decreased seven days after the operation. Upon ultrasound control, there was no residual choledocholithiasis. One month after the operation, the patient was re-examined in a planned manner – without deviations from the norm. Discharge – full recovery.


In order for patients to go home on the same day of surgery or the next morning, it is necessary to:

  • properly prepare the patient for the surgery
  • have extensive experience in surgery
  • properly organize postoperative care for the patient at home

Here is a list of surgeries after which our patients can go home on the day of the surgery or the next morning:

  • Inguinal hernia repair with mesh
  • Umbilical hernia repair with or without mesh
  • Varicose vein removal (phlebectomy) of the lower extremities
  • Cataract surgery
  • Glaucoma surgery
  • Tonsillectomy
  • Septoplasty (nasal septum correction)
  • Nasal tip plastic surgery
  • Otoplasty (ear correction)
  • Ultrasound-assisted liposuction of double chin
  • Liposuction of arms and shoulders (brachioplasty)
  • Hysteroscopy
  • Laparoscopic ovarian cyst removal
  • Diagnostic cystoscopy
  • Therapeutic cystoscopy
  • Contact lithotripsy of urinary stones
  • Knee arthroscopic surgery
  • Hallux valgus surgery (bunion correction)
  • Endoscopic removal of colon polyps
  • Hemorrhoidectomy (removal of hemorrhoidal nodes)
  • Radical removal of rectal fistulas
  • Radical removal of epithelial coccygeal passages

For more detailed information, please inquire at the “AJAPNYAK MEDICAL CENTER”. Contact information:


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