Stages of Appendicitis
- Early
- Suppurative
- Gangrenous
- Perforated
- Phlegmonous
- Spontaneous resolving
- Recurrent
- Chronic
Treatment
Diagnosis
Appendicitis may not be the immediate thought when symptoms like constipation, diarrhea, vomiting, or even heartburn occur, as these can be caused by various factors. However, if medications for heartburn or gas prove ineffective, and you experience pain in the lower abdomen or lower back, it is essential to seek medical attention. Diagnosing appendicitis can be challenging because its symptoms resemble those of intestinal infections, Crohn's disease, gallbladder issues, or urinary tract infections. Nevertheless, there are some clinical diagnostic methods that include:
- Urinary test
- Blood test
- Ultrasound
- CT scan
- Chest X-ray, in case of a child, to check pneumonia
Procedure
Sometimes, antibiotics can effectively treat appendix infections. However, due to busy schedules, patients often prefer prompt surgical treatment. Appendicitis is a medical emergency that must be addressed within hours to prevent rupture. Two surgical approaches are available: open and laparoscopic appendectomies.
In an open appendectomy, the surgeon removes the appendix by making a large incision in the abdomen. The appendix is extracted, and the incision is closed with stitches. This method is typically preferred for individuals who have previously undergone abdominal surgery or have a perforated appendix.
Laparoscopic appendectomy, on the other hand, involves the surgeon making 2-3 small incisions in the abdomen. Carbon dioxide is used to inflate the abdomen during the procedure, providing the surgeon with a clear view inside. A slender tube-like instrument with a camera attached provides a visual of the abdomen's interior. Other surgical instruments are inserted through the remaining incisions. The appendix is removed, and the incisions are closed with surgical glue. Laparoscopic appendectomy is the preferred treatment for adults and obese individuals, offering several advantages over open surgery, such as:
- Small incisions and minimum scarring
- Short surgery that takes 30-40 minutes
- Less postoperative pain
- Short hospital stay
- Quick return to normal activities
- Better cosmetic results
- Fewer complications
