Appendicitis- treatment

Treatment of appendicitis is surgical and consists of an operation called appendectomy. This is carried out in adults in most cases under spinal anesthesia, sometimes under total anesthesia; general anesthesia in children is also compliant.

 

The cut in ordinary, uncomplicated cases is small, – 1.

5 to 3 cm and can be augmented in case of complications (ubnormal position, pathology associated with ovarian cysts, adhesions, etc.).

There are cases when appendectomy can be performed through an incision of only 1 cm. Surgery and laparoscopic intervention can be practiced, but requires three small cuts.

The surgery must be associated with a proper diagnosis and treatment: antibiotic, analgesics (patients accusing postoperative ache in the epigastrium that is due to ligature meso appendicle) administered by infusion during the first 24 hours and then orally.

At 12-24 hours after the surgical intervention the patient can move, can begin to feed on medical recommendation, and usually at 48-72 hours patients are allowed to get out of the hospital, considering the following suggestions: diet, avoid exercise 4-6 weeks, returning for medical check.

In more serious or complicated cases (acute gangrenous appendicitis with periapendicle abscess, appendicle peritonitis) incision can be augmented or even practiced under the umbilicus median zone. Antibiotic treatment will be significantly stronger and last for a longer period of time and also the recovery will be prolonged. Interventions performed in order to extract the appendix can be made in one of two currently available tehniques: laparoscopy or old-school method. Experts did not agree yed regarding which of the two methods is best, and this varies from patient to patient.

Laparoscopic surgery consists of a few small cuts , while old-school appendectomy operation consists of a bigger single one.

Most patients feel good soon after surgery; some may even go home the same day.

If the appendix has broken and infection extends inside the guts, they may need a longer period of hospitalization. Treatment will consist of intravenous liquids and antibiotics.

Also, long hospitalization can be needed if the patient has health problems that worsen after the intervention.

If surgery is performed and the appendix is ​​not effected, it will still be eliminated to avoid the possibility of future issues.

If there is a supposition of appendicitis, treatment should begin as soon as possible. If it is not certain that abdominal ache is caused by appendicitis, it is advisable to check the following:

  • Pain is constant: the pain caused by appendicitis often starts in the middle of the guts and extends to lower-right area
  • There is a feeling that vomiting is inevitable, and repeated vomiting may be accompanied by loss of appetite
  • Fever up to 38.9 oC.
  • See your doctor: in case of appendicitis, it is very important to be treated soon
  • Avoid laxatives
  • Solid foods should be avoided

The majority of people get out of the hospital soon after the intervention. However, if the appendix has ruptured and infection has spread into the abdomen or other complications occurred, it takes a longer time to recover.

People who did the laparoscopy usually resume normal activities in two weeks. Those who suffered a traditional appendectomy can return to normal life, usually in about three weeks.

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