Monday 27 April 2020

Medical care & Management of Appendicitis

A small-pouch shaped organ on the right side of the abdomen that is connected to the colon is called an appendix. Usually, appendicitis is caused due to the swelling of the appendix, which will be inflamed and pus-filled. A stomach infection, blockage in the lining of the appendix could lead to appendicitis. The infection or the bacteria would multiply quickly, causing inflammation and pus in the appendix. Timely treatment is a must, or else it would rupture and lead to further complications.

 Appendicitis

Appendectomy 

An appendectomy is a process of surgically removing the appendix. This is considered to be a common procedure performed under emergencies. It is considered to be an emergency as the infected appendix might rupture or burst, allowing the infectious contents to enter the abdominal cavity. This surgery can help prevent complications.

Abdominal testing, blood test, urine test, and CT or ultrasound would be used to diagnose the issue. Sometimes, doctors would prescribe certain medications that could reduce the infection and pain, but severe conditions cannot be controlled with medications; hence, appendectomy is highly recommended. 

Procedure 

Using keyhole surgery or laparoscopy, doctors would perform an appendectomy. The procedure is less invasive than open surgery and performed under general anesthesia. Tiny incisions would be made in the abdomen into which a special tool called a port would be inserted. Carbon dioxide would be pumped through this port so that the stomach would get inflated and make the organs in the abdomen easier to examine. A laparoscope would be inserted through one of the incisions, and using other tools; the doctor would identify the position and remove the appendix. Sterile fluid will be instilled to remove the remaining infectious materials. The surgical instruments would then be removed so that the carbon dioxide would escape, and then the doctor would close the incisions with sutures or bandages. 

Recovery time 

Based on the severity of the infection, the recovery period would vary for each individual who has undergone an appendectomy. If the appendix has ruptured, then the hospital stay would be longer. Specific steps, when followed, help in faster recovery such as:
  • Avoid driving 
  • Avoid alcohol 
  • Follow a healthy diet plan and drink plenty of fluids 
  • Refrain from lifting heavy objects at least for 10-14 days post-surgery
  • Wash the hands thoroughly after touching the area close to an incision site 
  • Follow the instructions given by the doctor divinely 
  • Check the bandages to make sure there are no infections
  • Avoid wearing tight clothes 
  • Take pain killers and other medications as prescribed by the surgeon
  • Advised to hold a pillow over the tummy while sneezing or coughing to minimize the strain on the incision site


If there are any issues after the surgery, it is suggested to have an immediate follow-up. Follow-up care is a must as it is the central part of the treatment and safety.


Blog Reviewed By: Dr Patta Radhakrishna
Mail Us: gastrosurgeonchennai@gmail.com

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