Can a laparoscopic surgery for ruptured appendix cause lower intestine tear?
Patient: My son had a ruptured appendix 6 weeks ago, they put a drain in and it drained for about a week, he then had a colonoscopy, he was to have laproscopoic surgery on Oct. 14, about 3 am on Oct 14, he started throwing up and having the same stomach pain, we went to the surgery center at 5:30 am the took him in to do the laproscopic surgery, after 2 hours the dr. came out and said the appendix was in his pelvic and he had to open him up, 2 more hrs the surgery was done but he informed me he had to repair a tear in his lower intestine, he has a drain in his rectom , My question is do you think they waited too long to schedule the surgery, and also is it possible when the tried to to the laproscopic surgery the might have made that tear????? please excuse the spelling Doctor: hi,greetings from HCM.If there is a ruptured appendix drainage of pus alone  may be possible initially. once inflammation subsides patient can be taken up for removal of appendix either laparoscopic or open repair depending on the expertise of the surgeon.Advantage of lap is you can inspect the whole abdomen and look for other .pathologies. and look for various positions of appendix.inadvertant injury to the bowel  and other vital structures is the dreaded complication this procedure even in expert hands.In my opinion he may have injured the bowel accidently that is why he opened the abdomen for not to risk the life .hope your son will beome allright