An appendectomy is a specialized surgical procedure that involves removing the appendix—a small, finger-shaped pouch connected to the colon on the lower right side of your abdomen. At our practice, we understand that emergency or urgent surgery can be particularly stressful. That's why we're committed to providing gentle, expert care while helping you understand each step of your responsive treatment. This focused procedure effectively treats appendicitis—inflammation of the appendix that can lead to serious complications if left untreated. Our appendectomy approach utilizes advanced laparoscopic techniques whenever possible, with precisely positioned small incisions that minimize tissue disruption. We employ state-of-the-art imaging guidance and illumination systems that enhance visualization of the inflamed appendix and surrounding structures, allowing for a thorough evaluation of the abdominal cavity while ensuring complete removal with minimal impact on surrounding healthy tissues.
You may need an appendectomy if you experience:
Pain that begins around the navel and shifts to the lower right abdomen
Sudden onset of pain that worsens with movement, coughing, or deep breathing
Nausea and vomiting after pain begins
Loss of appetite
Low-grade fever that may worsen as the illness progresses
Abdominal swelling or bloating
Inability to pass gas
Rebound tenderness (pain upon sudden release of pressure placed on the abdomen)
Elevated white blood cell count in laboratory tests
Positive imaging findings on ultrasound, CT scan, or MRI
Appendiceal abscess or mass detected on examination or imaging
Appendiceal tumor identified during screening or evaluation of other conditions
Our approach to appendectomy combines precision with prompt, personalized care. The procedure typically begins with a comprehensive diagnostic evaluation, including physical examination, laboratory studies, and advanced imaging to confirm appendicitis and assess its severity. Our surgeon has expertise in both laparoscopic and open techniques, allowing for the most appropriate approach based on your specific condition. For most patients, we perform laparoscopic appendectomy using three small incisions (typically 5-10mm), strategically placed to optimize access while minimizing tissue trauma. Our distinctive approach includes meticulous evaluation of the entire abdomen during surgery to identify any concurrent issues or unusual anatomical variations. For complex cases involving perforated appendicitis or abscess formation, we offer specialized drainage techniques and tailored antibiotic regimens. When necessary due to extensive inflammation or anatomical challenges, we seamlessly transition to an open procedure using a muscle-splitting technique that preserves abdominal wall integrity and promotes faster recovery.
Immediate Post-Procedure (1-3 days)
Take prescribed pain medication as directed, typically transitioning to over-the-counter options within days
Begin with clear liquids, advancing to a regular diet as tolerated when bowel sounds return
Walk several times daily to promote circulation and reduce gas pain
Keep incisions clean and dry for 48 hours, after which showering is permitted
Expect some shoulder pain from residual CO2 gas if the laparoscopic approach was used
Complete the prescribed antibiotic course if your appendix was infected or perforated
Apply ice to incision sites to reduce swelling (20 minutes on, 20 minutes off)
Monitor for fever, increasing abdominal pain, or unusual drainage
Rest when tired but remain mobile with short walks throughout the day
Avoid lifting anything heavier than 10 pounds for the first week
Short-Term Recovery (1-2 weeks)
Attend your follow-up appointment (typically 7-10 days after surgery)
Continue walking daily, gradually increasing distance as comfort allows
Resume driving once off narcotic pain medication and able to brake suddenly without pain (typically 3-5 days)
Return to work based on your surgeon's recommendation and job requirements (typically 5-7 days for desk jobs)
Avoid heavy lifting (over 15 pounds) for two weeks
Small incision sites will heal externally within 7-10 days
Most patients report significant improvement in pain by day 3-5
Resume normal diet as tolerated, though some patients experience mild constipation
Temporary bloating or digestive adjustment is normal as bowel function returns
Use supportive pillows when coughing or laughing to reduce incisional discomfort
Long-Term Expectations
Complete internal healing occurs within 3-4 weeks
Subtle incision lines typically fade significantly within 6-12 months
Most patients can return to all normal activities, including exercise, after 2-3 weeks
No long-term dietary restrictions or digestive changes
No impact on immune function despite old myths about the appendix
No long-term medications or special care required
Full athletic activities can typically resume after 3-4 weeks
The absence of the appendix causes no functional deficit in the digestive system
Removal prevents future episodes of appendicitis or appendix-related complications
Annual check-ups help ensure continued overall health maintenance
Common Side Effects
Temporary pain at the incision sites
Mild bruising or swelling around the small incisions
Inconspicuous healing traces that typically fade over time
Shoulder pain from CO2 gas if laparoscopic approach was used
Temporary bloating or digestive adjustment
Constipation related to pain medication and reduced activity
Mild fatigue during the recovery period
Less Common Complications
Surgical site infection (occurring in less than 5% of cases, higher with perforated appendicitis)
Intra-abdominal abscess formation requiring drainage
Adhesions or scar tissue formation that may cause future bowel obstruction
Incisional hernia at the surgical site (rare with laparoscopic approach)
Bleeding requiring intervention (extremely rare)
Injury to surrounding structures (bowel, bladder, blood vessels)
Wound dehiscence (opening of the surgical incision)
Prolonged ileus (delayed return of normal bowel function)
Conversion from laparoscopic to open procedure if technically necessary
When to Seek Immediate Medical Attention
Fever over 101°F (38.3°C)
Severe, worsening abdominal pain
Persistent nausea or vomiting
Inability to tolerate liquids
Significant redness, warmth, swelling, or drainage at incision sites
Progressive abdominal distension or bloating
No bowel movement or gas passage for more than 3 days
Chest pain or difficulty breathing
Persistent diarrhea or severe constipation
Signs of wound separation or opening
From your first consultation through your complete recovery, we provide:
Thorough evaluation and explanation of your condition
Clear discussion of all treatment options, including non-surgical alternatives when appropriate
Detailed pre-operative instructions to help you prepare
Compassionate care during your hospital stay or outpatient procedure
Comprehensive follow-up care and support during recovery
Ongoing availability to address questions or concerns
We understand that facing head and neck surgery can be intimidating, but you don't have to navigate this journey alone. Our team is committed to providing expert care with a personal touch, ensuring you feel supported, informed, and confident every step of the way.
Your health and wellbeing are our highest priorities, and we're honored to be part of your care team.
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All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.
We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:
Less pain after surgery
Shorter hospital stays
Faster return to work and activities you enjoy
Smaller, less visible scars
Lower risk of complications
Better overall outcomes
Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.
I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.
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At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.
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Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!
Wondering which surgical procedure might be right for your condition? We're here to help you understand your treatment options and develop a personalized surgical plan. Contact our office today to schedule a consultation.
Your path to improved health may be more achievable than you think—with advanced surgical techniques leading to faster recovery, reduced complications, and a significantly enhanced quality of life.