APPENDICECTOMY

1. APPENDICECTOMY Appendicectomy is a surgical operation in which vermiform appendix is removed. Normally performed as an emergency procedure to treat complicated acute appendicitis INCISIONS IN APPENDICECTOMY 1) Gridiron incision: An oblique incision made in the right lower quadrant of the abdomen, classically used for appendicectomy. A McBurney is a called a ‘gridiron’ incision, because it consists of two perpendicular lines, splitting the fibers of the muscles without cutting them – this allows for excellent healing. 2)Rutherford morison's muscle cutting incision:-Rutherford-Morison incision: similar with the Gridiron incision but the surgeon extends the incision into an oblique and curvilinear orientation, facilitating access to the ascending colon and sigmoid; also used for kidney transplantation. 3) Lanz crease incision 4)Lower midline incision 5) Laproscopic approach 6) Fowler -weir approach

2. APPENDICITIS Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. Appendicitis causes pain in your lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe. Although anyone can develop appendicitis, most often it occurs in people between the ages of 10 and 30 Symptoms / Clinical features Signs and symptoms of appendicitis may include: Sudden pain that begins on the right side of the lower abdomen Sudden pain that begins around your navel and often shifts to your lower right abdomen Pain that worsens if you cough, walk or make other jarring movements Nausea and vomiting Loss of appetite Low-grade fever that may worsen as the illness progresses Constipation or diarrhea Abdominal bloating Flatulence Fever ,chills Common in young males

3. TYPES OF APPENDICITIS 1. Acute Appendicitis: It is severe or a sudden case of appendicitis. These symptoms end up developing within a day or two. The person who is suffering from such an issue requires the best and immediate treatment. Chronic appendicitis: It is less common as compared to acute appendicitis. In the chronic cases of appendicitis symptoms can be considered as relatively mind. At times it might not be diagnosed until the person gets acute appendicitis. Simple appendicitis: There are various cases and it does not cause any complication Complex appendicitis: The cases might involve certain complication like the abscess 2. 3. 4. MANAGEMENT Most people with appendicitis need a surgery called appendicectomy. It removes the diseased appendix If the appendix has not yet ruptured,surgery prevents the rupture and keeps infection from spreading Before surgery , intravenous aantibiotics has given to treat infection . IV, antibiotics may be considered as the first line therapy . appendicectomy via open laprotomy or laproscopy is the standard treatment for acute appendicitis.