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Appendicitis

Appendix is an appendix cecum, which is located almost on the border between small and large intestines.

Appendix has many rodents, some carnivores, monkeys and humans. The length of the human appendix is on average 5 - 15 cm in diameter - about 1 cm

Presumably, his main task is to protect the small intestine from the bacteria that inhabit the cecum.

What is it?

Appendicitis is called inflammation of the appendix. This disease is extremely common, and requires emergency surgery.

Appendicitis can happen to everyone, regardless of age.

Those not lucky enough to fall ill with appendicitis, sure that he came at them for no apparent reason. However, doctors do know that the development of appendicitis may include:

  • Excessive mobility appendix and its excesses (eg, children);
  • Blockage of the lumen of the appendix stool with constipation (the elderly) and just undigested food particles (seeds, grains);
  • Food and any other infection;
  • Inflammatory bowel disease;
  • Abdominal trauma.

What's happening?

Appendicitis develops gradually: in the early hours of the disease process swells, then filled with pus. Non-surgical treatment for 2-3 days there is a rupture appendix, pus pours out into the abdominal cavity, develops a terrible peritonitis. The patient's condition becomes critical.

How to suspect the appendicitis?

  • The main symptom of appendicitis - a pain in the abdomen. Most often, the pain first appears in the upper abdomen, and then it moves right and down. However, often ill with appendicitis have pain in the right upper quadrant pain and, smack in the back or the anus.
  • Touching the stomach causes increased pain.
  • The abdominal muscles are strained.
  • The patient is pressing his legs to his stomach.
  • Nausea and vomiting.
  • The character of stool (constipation occurs or, conversely, diarrhea).
  • Can the temperature rises.

Require special attention, children and elderly people. Children often can not say exactly where and how it hurts. Tearfulness, lack of child's refusal to eat can talk about appendicitis. Older people's pain can be smoothed, which leads to late diagnosis of the disease.

First aid

  1. When you see these symptoms should immediately call an ambulance.
  2. Before the examination the doctor should not take painkillers and other drugs, as this will complicate the diagnosis. Also prohibited from eating and drinking.
  3. In no case do not apply a heating pad to the abdomen. Heat promotes disease and may lead to rupture of sprouts! The abdomen can put a plastic bag with ice.
  4. Call the doctor to even if severe pain subsided. Stihaniya pain is often noted in passing the disease in the hardest stage!

Diagnosis and treatment

Appendicitis is a disease of the gastrointestinal tract, and with it most logical to refer to a gastroenterologist. However, because the disease usually develops acutely, it is best just to go to a surgeon.

The diagnosis of the doctor puts the patient immediately after the inspection. In this case, women necessarily require prior consultation gynecologist as appendicitis, and inflammatory diseases of female genital mutilation in many respects similar.

To confirm the diagnosis immediately assessed by ultrasound and X-ray study of the abdominal cavity. Even if the diagnosis of appendicitis can not immediately put, and only the symptoms resemble the disease, the patient remains in hospital under observation, postponing the decision to have surgery for 12-24 hours.

In a well-equipped facilities in the event of unclear diagnosis applies laparoscopy. This is the most reliable diagnostic method. During laparoscopy, the abdominal cavity through a small incision the stomach (up to one centimeter) introduce a special tube through which the surgeon examines the entire abdomen.

Upon confirmation of the diagnosis may laparoscopic appendectomy.

Appendicitis is treated only by surgery: remove appendix (appendectomy). The operation was performed under general or local anesthesia.

There are two methods of removing the appendix.

  1. The most common - a traditional appendectomy. This is a common surgical procedure in which the conduct section of the abdomen on the right and remove the inflamed appendix.
  2. Laparoscopic appendectomy (endoscopic surgery) is used rarely, mostly in the event that laparoscopy was used for diagnosis. Compared with conventional appendectomy this method provides less blood loss and reduce the risk of postoperative complications.

If a particular location of the appendix does not allow to remove it laparoscopically, the surgeon goes to a traditional appendectomy.

The success of treatment depends on the timing of treatment to the doctor.

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