Appendicitis (from Latin appendicitis) is an acute or chronic inflammation of the appendix of the cecum (appendix). This disease often occurs in the abdominal cavity and leads to mandatory surgical intervention. Inflammation of the appendix can manifest itself in different age periods, according to statistics, most often in women.
At the moment, laparoscopic appendectomy is the most popular method for removing appendicitis with a wide range of possibilities for examining the abdominal cavity.
Laparoscopic appendectomy, due to its merits, is the preferred surgical method among most cases with suspected acute appendicitis.
Two key forms of pathology:
- acute appendicitis - an aggravated inflammatory-necrotic process caused by blockage of the appendix lumen and proceeding with the participation of microflora;
-chronic - is found extremely rarely and develops as a consequence of the transferred acute form, characterized by sclerotic and atrophic transformations in the wall of the process.
With appendicitis, initially a person feels pain in the upper abdomen or in the umbilical zone, after a few hours the pain moves to the ileal zone on the right.
The painful sensations are aggravated in accordance with the progression of the disease, as well as with coughing and various movements. The irritation of the parietal peritoneum intensifies, the pain settles in the right lower abdomen. This stage is - acute appendicitis. With the development of the disease, there is a decrease in appetite, the appearance of nausea, vomiting, an increase in temperature to 38 ° C, diarrhea, frequent urge to urinate, and an increase in heart rate are possible.
Symptoms also depend on the location of the appendix. If the process is retrocecal (located behind the cecum), the pain will be dull, if the appendix is located in the pelvis, then constant aching (atypical).
After laparoscopic appendectomy, the patient is discharged in 2-3 days. He can return to his usual life much earlier than with a cavity appendectomy. To restore health and full functioning of all body systems, at first, all the surgeon's recommendations, sleep and rest regimen, and diet should be followed. The diet should include foods that stimulate intestinal motility: broths, decoctions, fermented milk, jelly, whole grain bread, etc. Contraindicated: smoked, spicy, fatty foods, baked goods, white bread and alcohol.
Removal of the appendix (appendix) is one of the most common surgical procedures. To date, no worthy alternative to surgical removal of the appendix has been found. The isolated studies on non-operative treatment have remained at the experimental level and have not become widespread.
Surgery for acute appendicitis consists in removing the inflamed appendix. This can be done in several ways: in the traditional open way, laparoscopically through one port, or using NOTES technology (through the vagina or stomach). Each method has its own strengths and weaknesses.
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