Watch video about laparoscopic appendectomy surgery here for FREE! You'll see how doctors do with our appendix!.Appendicitis Updated Review
Review all aspect of appendicitis including symptoms, sign, investigation,treatment and surgery
Watch video about laparoscopic appendectomy surgery here for FREE! You'll see how doctors do with our appendix!.Open Appendectomy for Appendicitis
If open appendectomy is chosen for treat appendicitis, the surgeon must then decide on the location and type of incision. Prior to incision, a single dose of antibiotics should be administered, typically a second-generation cephalosporin.The appendicitis patient should be re-examined after the induction of general anesthesia, which enables deep palpation of the abdomen. If a mass representing the inflamed appendix can be palpated, the incision can be centered at that location. If no appendiceal mass is detected, the incision should be centered over McBurney’s point, one-third of the distance from the anterior superior iliac spine to the umbilicus. A curvilinear incision, now known as a McBurney’s incision, is made in a natural skin fold. It is important not to make the incision too medial or too lateral. An incision placed too medial opens onto the anterior rectus sheath, rather than the desired oblique muscles, while an incision placed too lateral may be lateral to the abdominal cavity.
Treatment of appendicitis, Appendectomy
With few exceptions, the treatment of appendicitis is surgical (ie, appendectomy). The operation can be done open or laparoscopically. The results of clinical trials comparing the two methods show no clear-cut advantage of one method over the other, though patients treated laparoscopically return to work a few days earlier. A laparoscopic approach is desirable when the preoperative diagnosis is uncertain because the morbidity is less if the appendix is found to be uninflamed and an appendectomy is not done.
Prophylactic antibiotics are indicated preoperatively. A single-drug regimen, usually a cephalosporin, is as effective as more aggressive multiple-drug combinations. Routinely culturing abdominal fluid is of no practical value even when the appendix has perforated. The organisms obtained are the usual fecal flora.
Treatment of actute appendicitis
It is compulsatory to accept a surgical action anon the analysis of astute appendicitis is established. The operation is accepted as: appendectomy.
It is a accepted action and a accepted operation in the world. Laparoscopic is performed in the appropriate lower abdomen, if the appendicitis is apprehensible the accommodating is able to go home in 24-48 hours from the operation.
If appendicitis was doubtable and during surgical action the surgeon acquisition that the addendum is not inflammed, than the surgeon will abolish it anyhow and attending for added causes of accessible affliction in the abdomen. Recognizing astute appendicitis is not a difficult amount as continued as you apperceive its symptoms.
