Appendectomy is the best step

The easiest and fastest way to deal with appendicitis is surgery. This needs to be done in order to prevent further infections, namely peritonitis infections, which can be life threatening. Appendectomy is generally done to treat appendicitis. The goal is to remove the infected appendix before rupture. If the appendix ruptures, bacteria and dirt in the intestine will spread in the stomach and can cause a serious infection called peritonitis. Abscesses can also occur when the appendix bursts. Both of these are life-threatening conditions that require immediate surgical action.

How is appendicitis done?

Before undergoing appendicitis, the patient must fast for at least 8 hours. The doctor also needs to know about any drugs that have been or are being taken, the possibility of suffering from allergies or sensitive to certain drugs such as anesthetics and the history of bleeding disorders. After that, the body will be fitted with an IV to receive fluids and drugs. In general, patients will be given general anesthesia, but in some cases, local anesthesia is preferred. There are two methods of surgery that doctors can choose from this disease. The choice will usually be based on the severity of the disease and the patient's health condition. The first method is surgery with a small hole (laparoscopy). In this surgical procedure, there are 3-4 small incisions in the abdomen to insert the surgical instrument. The first tool is a pipe that pumps air so the stomach will expand. This aims to facilitate the view of the surgeon in observing the appendix and provide space for work. After that the doctor will insert a small pipe containing lights and cameras that are connected to a TV monitor to see and look for appendicitis. Finally, there is a small surgical instrument for removing appendicitis. After removing the appendix, the incision is closed with stitches. Laparoscopic surgery is the most commonly performed method because scars usually heal faster. In addition, this method is the best choice for parents and people who are overweight (obese) because the risk is smaller. Through laparoscopy, patients are even allowed to go home after the surgical procedure. Furthermore, the recovery period will be served at home. The second technique for appendectomy is open surgery. This operation is done if the appendix has ruptured or peritonitis has spread. Surgery is usually done by making a long incision in the lower right abdomen. However, if there is widespread peritonitis, an incision will be made in the midline of the abdomen, this procedure, called a laparotomy. After surgery, the appendix that has an infection will be sent to a laboratory to check for cancer. This is a precautionary measure even though serious problems are rarely found.

Treatment after appendectomy

The recovery period for appendicitis depends on the type of surgical procedure, the type of anesthesia or the possibility of developing complications. In laparoscopic surgery performed before complications, most patients can go home before 24 hours postoperatively. With open surgery or complicated operations, such as peritonitis, it can take up to a week before the patient is well enough to go home. Postoperatively, the pain will be felt around the surgical wound. But the pain will decrease in a few days. For those undergoing laparoscopic surgery, the pain in the shoulder end may be felt for about one week due to the air being pumped into the stomach during surgery. Some things to consider in postoperative appendicitis treatment:
  • Maintain cleanliness around the surgical wound to prevent the risk of infection.
  • If needed, the doctor can give medicines that relieve pain and antibiotics to avoid infection.
  • Be aware of signs of infection, including surgical wounds becoming red and swollen, high fever (exceeding 38 degrees Celsius), cold, vomiting, loss of appetite, stomach cramps, diarrhea or constipation that lasts more than 2 days,
  • During the recovery period, it is recommended to limit excessive physical activity in order to speed up the healing process.
Although there is a small risk of having a postoperative appendicitis, most patients can recover without significant problems. The time needed to recover completely from appendicitis is around 4-6 weeks.

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