Things To Know About Appendicitis

What is the appendix?
The appendix (appendix) is a narrow, closed, terminal segment, about a few centimeters long that attaches to the cecum (the first segment of the large intestine). The inner lining of the appendix secretes little mucus and flows into the cecum. The wall of the appendix contains lymphatic tissue, which is part of the immune system that produces antibodies. Like the rest of the colon (large intestine), the wall of the appendix also contains the muscle layer but this muscle layer is poorly developed.
What is appendicitis?
Appendicitis is an inflammation of the appendix

. It is thought that appendicitis is caused by a blocked passage between the appendix and the cecum. This obstruction is caused by an accumulation of mucus in the appendix or from stool from the cecum entering the appendix. Mucus or stools become hard, like stones and clog vents
Stone-like stools are called "pebbles" (pea-sized, hard and calcified stools that cause obstruction between the appendix and the cecum).



There may be swelling of the lymphatic tissue of the appendix and obstruction of the appendix. After the blockage occurs, normal bacteria resident in the appendix begin to invade the appendix.
The body responds to this invasion by attacking bacteria. The phenomenon of attacking those bacteria is called inflammation. If inflammation and infection spread to the appendix wall, the appendix bursts. After the appendix bursts, the infection spreads into the abdomen. However, this infection is usually limited to a small area around the appendix called an abscess around the appendix
Sometimes appendicitis may go away without surgery if the infection and infection do not spread to the abdomen.



Inflammation, pain and symptoms will disappear. This case can be seen in the elderly and used antibiotics. These patients may come to the doctor for a long time after the appendicitis infection because a block in the lower abdomen must be the result of the body's "healing" phenomenon.
To identify appendicitis
1. Vomiting and nausea
2. Pain in the lower right area of the abdomen and more pain when pressed with your hands
3. Pain just above the navel, which can spread to the lower right area of the abdomen 4. The pain is worse when coughing, sneezing, walking or taking deep breaths
5.



Mild fever
6. Have diarrhea, constipation or not being able to "fart"
7. Loss of appetite
8. Swollen abdomen
What are the complications of appendicitis?
Appendicitis can cause appendic perforation, ileus, sepsis.
Appendectomy is conducted like?
In appendicectomy, first make a 5-7cm incision in the skin on the right lower abdomen, then into the next layers of abdominal wall. Once in the abdomen, look for the appendix. Once the appendix is found, the surgeon will look at the surrounding areas for infection. If there is no problem then the appendix will be removed.




The first is to remove the appendix from its mesenteric adhesion, which attaches to the abdomen and the cecum, then removes the appendix and sutures the hole in the cecum. If there is an abscess, place the drain (rubber or plastic) to let the latex drain from the abscess.
Then close the stomach. A new technique that can remove the appendix is to remove the appendix through laparoscopy. This procedure allows the doctor to examine the inside of the abdomen only through a small hole in the abdominal wall (Instead of the large incision in conventional appendectomy).
The advantage of this method is that patients feel less pain after surgery and can return to normal activities faster. Another benefit of this method is that the doctor can examine the inside of the abdomen to clearly identify the diagnosis.
For example, ovarian survey may be performed in women with suspected ovarian cyst rupture that has symptoms similar to appendicitis.



If the patient does not have an appendicitis rupture, he or she may return home early. If the patient has a ruptured appendix, he will be hospitalized longer, especially if he has peritonitis. Intravenous antibiotics will be used in the hospital to treat infections and abscesses.
Sometimes when the surgery is done, the surgeon finds that the appendix is normal and no other cause is found. In this case, the appendix will remove the appendix. The reason for this is that such appendectomy would be better than omitting and inappropriate treatment of mild or early appendicitis.
What are the complications of appendectomy?
Incision infection: This is the most common complication. Complications of this infection may be mild or severe, such as redness and pain in the incision in mild to moderate cases, just antibiotics and severe antibiotic use and surgery.



Incision infections are less common in laparoscopic surgery.
Abscess: is the phenomenon of pus accumulation around the appendix area. Are patients who have no appendix affected? People who have no appendix can live a healthy life.

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