Appendicitis
The appendix is a narrow, small, finger-shaped portion of the large intestine that generally hangs down from (within) the lower right side of the abdomen
Appendicitis is a sudden inflammation of the appendix. Although the appendix does not seem to serve any purpose, it can become diseased and, if untreated, can rupture, causing infection and even death.
What is Appendictis?
Dull Pain Near the Navel
Dull pain near the navel or the upper or lower abdomen that becomes sharp as it moves to the lower right abdomen; this is usually the first sign, but it occurs in less than half of appendicitis cases.
Loss of Appetite
Nausea or Vomiting
Nausea or vomiting soon after abdominal pain begins
Abdominal Swelling
Elevated Temperature (100 to 101°F)
Digestive Issues (Constipation or Diarrhea with Gas)
Inability to Pass Gas
Painful Urination
Signs & Symptoms
In rare cases, appendicitis may get better without surgery. Treatment might involve only antibiotics and a liquid diet. In most cases, however, surgery will be necessary.
The type of surgery will depend on the details of your case. If you have an abscess that hasn’t ruptured, you may receive antibiotics first. Your doctor will then drain your abscess using a tube placed through your skin. Surgery will remove your appendix after you’ve received treatment for the infection.
If you have a ruptured abscess or appendix, surgery may be necessary right away. Surgery to remove the appendix is known as an appendectomy. A doctor can perform this procedure as open surgery or through a laparoscopy.
Treatment Options
Treatment for appendicitis varies.
Less Pain
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Faster Recovery
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Shorter Hospital Stay
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Less Scar is Hidden within the Umbilicus (Naval)
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Main Advantages
Single Incision Laparoscopic Appendectomy (SILS Appendectomy) is performed through a single, small incision within the belly button. Camera and instruments are inserted through the same hole and surgery is conducted through the single hole. The infected specimen (appendix) is removed through the same hole. As the cut is closed with absorbable sutures, not visible on the outside, there are no obvious visible scars as the wound heals. There is also no need to remove any sutures.
Most cases of acute appendicitis can be treated by means of single incision laparoscopic surgery (SILS). The main advantages include:
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In most cases, patients can be discharged within 24 to 36 hours. In comparison, an open procedure requires the patient to stay in the hospital for two to five days.
Most patients (more than 95% of patients) can have single incision laparoscopic Appendicectomy. However, SILS Appendectomy may be more difficult in patients who have had previous lower abdominal surgery and in the cases of obese patients. Within this group of patients, there is a possibility of conversion to 4 key-hole or open surgery. The elderly may also be at increased risk for complications with general anesthesia. We evaluate every patient to determine the appropriate type of surgery to perform.
Diagnosis
The appendix is a narrow, small, finger-shaped portion of the large intestine that generally hangs down from (within) the lower right side of the abdomen
Appendicitis is a sudden inflammation of the appendix. Although the appendix does not seem to serve any purpose, it can become diseased and, if untreated, can rupture, causing infection and even death.
Urinalysis for Urinary Tract Infection or Kidney Stone
Urinalysis can rule out a urinary tract infection or kidney stone.
Pelvic Exam for Reproductive and Pelvic Infections
Pelvic exams can make certain that women don’t have reproductive problems. They can also rule out other pelvic infections.
Pregnancy Test for Suspected Ectopic Pregnancy
Pregnancy tests can rule out a suspected ectopic pregnancy.
Abdominal Imaging for Abscess or Complications
Abdominal imaging can determine if you have an abscess or other complications. This may be done with an X-ray, ultrasound, or CT scan.
Chest X-ray for Right Lower Lobe Pneumonia
Chest X-ray can rule out right lower lobe pneumonia. This sometimes has symptoms similar to appendicitis