Appendicitis – Treatment

If you have appendicitis, your appendix will usually need to be removed as soon as possible. This operation is known as an appendicectomy or appendectomy.
operating room is frequently besides recommended if there ‘s a find you have appendicitis but it ‘s not been potential to make a clear up diagnosis .
This is because it ‘s considered dependable to remove the appendix than risk it bursting .
In humans, the appendix does not perform any important officiate and removing it does not cause any long-run problems.

Appendicectomy (appendectomy)

removal of the appendix is carried out under general anaesthetic using either keyhole or open surgery .

Keyhole surgery

Keyhole operation ( laparoscopy ) is normally the prefer method of removing the appendix because the recovery tends to be quicker than with open surgery .
The operation involves making 3 or 4 small cuts ( incisions ) in your stomach ( abdomen ) .
particular instruments are inserted, including :

  • a tube that gas is pumped through to inflate your abdomen – this allows the surgeon to see your appendix more clearly and gives them more room to work
  • a laparoscope – a small tube with a light and a camera, which relays images of the inside of the abdomen to a television monitor
  • small surgical tools used to remove the appendix

After your appendix has been removed, dissolvable stitches may be used to close the incisions .
If regular stitches are used, they ‘ll need to be removed at your GP surgery 7 to 10 days late .

Open surgery

In some circumstances, keyhole operation is not recommend and open surgery is used alternatively .
These include :

  • when the appendix has already burst and formed a lump called an appendix mass
  • when the surgeon is not experienced in laparoscopic removal
  • people who have previously had open abdominal surgery

In open operating room, a single larger geld is made in the lower right side of the abdomen to remove the appendix .
When there ‘s widespread infection of the inner lining of the abdomen ( peritonitis ), it ‘s sometimes necessary to operate through a cut along the middle of the abdomen. This operation is called a laparotomy .
As with keyhole operation, the incision is closed using either dissolvable stitches or regular stitches that need to be removed at a belated date .
After both types of operating room, the removed appendix is sent to a testing ground to check for signs of cancer .
This is a precautionary measuring stick and it ‘s rare for a dangerous problem to be found .

Recovery

One of the main advantages of keyhole operating room is the recovery time tends to be short and most people can leave hospital a few days after the process .
If the procedure is carried out promptly, you may be able to go home within 24 hours .
With open or complicated surgery ( for case, if you have peritonitis ) it may take up to a week before you ‘re well enough to go home .
For the first few days after the operation it ‘s probable you ‘ll have some pain and bruise. This improves over prison term, but you can take painkillers if necessary .
If you have had keyhole surgery, you may have pain in the tip of your shoulder for about a week.

This is caused by the flatulence that was pumped into your abdomen during the operation .
You may besides have constipation for a short period after the operation .
To help reduce this, do not take codeine painkillers, corrode enough of fiber, and drink batch of fluids .
Your GP can prescribe medication if the problem is peculiarly troublesome .
Before leaving hospital, you ‘ll be advised about caring for your wound and what activities you should avoid .
You should be able to return to normal activities in a couple of weeks, although you may need to avoid more arduous activities for 4 to 6 weeks after open surgery .
Your surgeon should discuss this with you .

When to get medical advice

While you recover, it ‘s significant to keep an eye out for signs of any problems .
Contact your caution team at the hospital or your general practitioner if you :

  • have increased pain and swelling
  • start vomiting repeatedly
  • have a high temperature
  • have discharge coming from the wound
  • notice the wound is hot to touch

These symptoms could be a polarity of infection .

Risks

removal of the appendix is one of the most normally performed operations in the UK, and serious or long-run complications are rare .
But like all types of surgery, there are some risks, including :

  • wound infection – although antibiotics may be given before, during or after the operation to minimise the risk of serious infections
  • bleeding under the skin that causes a firm swelling (haematoma) – this usually gets better on its own, but you should see your GP if you’re concerned
  • scarring – both types of surgery will leave some scarring where the incisions were made
  • a collection of pus (abscess) – in rare cases, an infection caused by the appendix bursting can lead to an abscess after surgery
  • hernia – at the site of the open incision or any of the incisions used in keyhole surgery

The use of general anesthetic besides carries some risks, such as the risk of an allergic reaction or inhaling digest contents, leading to pneumonia .
But serious complications like this are very rare .

Alternatives to emergency surgery

In some cases, appendicitis can cause a hunk called an appendix mass to form on the appendix .
The swelling is made of appendix and fatso weave, and is the body ‘s way of trying to deal with the problem and heal itself .
If an appendix aggregate is found during an examination, your sophisticate may decide it ‘s not necessary to operate immediately.

rather, you ‘ll be given a course of antibiotics and an appointee to have an process a few weeks late, when the bulk has settled .
There ‘s not enough clear tell to suggest that antibiotics could be used to treat appendicitis as an alternative to surgery .
foliate last reviewed : 18 February 2019
Next review ascribable : 18 February 2022

reference : https://www.bestofcalgary.city
Category : Health

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