ACUTE APPENDICITIS

INTRODUCTION-DEFINITION

The appendix is a small lymphoid organ, which is located at the base of the blind, which, in its turn, is the first part of the colon. Acute appendicitis is the most frequent disease of the digestive system. It is an inflammation or infection of the appendix. In the case of rapid progression or if the infection is neglected, the acute appendicitis can lead to peritonitis.

SYMPTOMS

Usually, it is a pain which begins high in the stomach or around the navel and then moves lower and right to the abdomen. They can coexist fever, up to 38, nausea and vomiting. The diagnosis is eminently clinical, that the hand of the doctor in the first place, will determine whether it is an acute appendicitis.

The additional tests such as blood tests, a CT scan or ultrasound rater simply assist in documenting the diagnosis. The surgeon will have to separate the symptoms of acute appendicitis from those of gynecological disease, a urinary problem or a mesentery lymphadenitis.

TREATMENT

The surgery is to remove the inflamed appendix and thoroughly cleaned, if necessary, the peritoneal cavity.

If it is diagnosed, surgery must follow in the next few hours. Sometimes, especially in cases of neglected appendicitis, the organism in its efforts to defend itself creates a local inflammation, involving other neighboring organs such as the small intestine, omentum and thus formed an inflamed mass called the plastron. In this case it may, at the discretion of the surgeon, be appropriate in principle a treatment with antibiotics. The surgery can and should be done after weeks when they have fallen phenomena of inflammation.

The laparoscopic appendectomy today is, with no incision , with 3 small holes of 5 mm . The duration of the surgery is from 20 minutes to 1 hour and 30 minutes, depending on the difficulty.

Laparoscopy is of great advantage because it makes everything visible in the abdomen, allows thorough the cleaning of the peritoneal cavity - if there is aperitonitis – and mostly there are no incisions, so there is no risk of hernia.

The restoration of the patient is extremely fast. After surgery, the patient returns to the room and usually being fed the next day. The hospital stay is 1-3 days.

COMPLICATIONS & LIFE AFTER SURGERY

There is no consequence after the appendectomy. The patient normally lives without any change in the functioning of his organism. The complications that can occur are intra-abdominal abscess, usually in the lower part of the abdomen, called douglasios, or abscess of abdominal wall (in both cases the treatment is the draining of the abscess and treatment with antibiotics).