Treatment for appendicitis generally needs the removal of the inflamed appendix (appendectomy). You will be given antibiotics before surgery to contain the infection.
Your surgeon will perform appendectomy either as an open surgery or a laparoscopic surgery.
In an open surgery, your surgeon will access and remove your appendix by way of a 2-to-4-inch incision on the lower right side of the abdomen.
In a laparoscopic surgery, the surgeon can access and remove the appendix with special surgical instruments inserted through small incisions in the abdomen.
Generally, laparoscopic surgery enables your body to heal faster with less pain and scarring. This type of surgery is more suitable to people who are old and obese. However, laparoscopic surgery is not recommended for everyone. If your appendix has ruptured and infection has spread to neighboring structures or an abscess has formed, you will need an open surgery to give your surgeon more access to the abdominal cavity which has to be cleaned thoroughly.
You may stay one or two days in the hospital after your appendectomy.
If the appendix has burst and an abscess has developed around it, the abscess can be drained by positioning a tube through your skin into the abscess. Appendectomy may be conducted a few weeks later after managing the infection.