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APENDICECTOMÍA. OPERATION OF APPENDICITIS
DENOMINATION DEFINITION DESCRIPTION INDICATIONS EXPECTATIONS CONVALESCENCE RISKS I FOUND IT HARD TO CONSULT

DENOMINATION

  • Appendix intervention.
  • Appendix operation.
  • Apendicectomía.

DEFINITION

The apendicectomía is the extraction of the appendix vermicular that is in the blind person (region of the intestine) and that is inflamed or infected.

DESCRIPTION

In red, Appendix
 

The appendix (in red in the image) is a small sack fund, a finger of glove, of intestinal textile located between the small intestine and the large intestine (colon).

 

If the appendix infects (appendicitis), it must be extracted (apendicectomía of emergency) before a perforation develops in the intestine and the infection is spread in the space abdominal (peritonitis).

The surgery is realized by the asleep and free pain patient, using general anesthesia.

 

A small incision is realized in the low right side of the abdomen and that's why one gains access to the abdominal cavity, and extracts the appendix to him.

 

If one has formed accumulation of infected pus (abscess) or the appendix has torn, he must wash very well its abdomen during the surgery and a small pipe will be left for the drainage of exudado or pus.

  
Apendicectomia

Another type of skill that it is possible to use is the surgery for route laparoscópica. The apendicectomía for laparoscopy is still a controversy motive, even if most of the publications awards advantages to him on the conventional operation so much in time of hospitalization, complications of the wound, formation of adhesions and esthetic aspects. In a low percentage of cases it is necessary to turn in open surgery, without this supposing a serious added problem.

The apendicectomía by route laparoscópica was described more than 10 years ago and she had neither the impact nor the success that the colecistectomía laparoscópica has had, since although there have been some studies that demonstrate his safety, his advantages on the open apendicectomía are minor than the obtained ones with the colecistectomía, since the pain and the incapability after the traditional operation are not important.

His principal problem for the generalization is that it needs of teams familiar with this skill, and given the high frequency of appendicitises that appear in hospitals of all the levels and the simplicity of the traditional skill, his use has not been generalized.

INDICATIONS

This intervention is realized in case of an infection or inflammation of the appendix (sharp appendicitis). The symptoms of sharp appendicitis include:

  • Abdominal pain (in the low right side of the abdomen).
  • Fever.
  • Loss of appetite.
  • Morning sickness.
  • Vomiting.

His doctor can confirm it:

  • Exploring his abdomen to verify his hardness and tension.
  • Rectal tact (it will introduce his finger for the year) by means of what can feel the distension of the appendix.
  • Increase of the rectal difference of temperatures with regard to the axilar (Superior to 1ºC)
  • Increase of white cells of the blood.

If the symptoms are quite clear it is necessary to realize the intervention. In 25 % of the cases the surgeon will think that the appendix is not infected. In this case it will verify completely the abdominal organs and will remove the appendix anyway.

EXPECTATIONS

The recovery of a simple apendicectomía, it is finished and normally rapid. If the appendix has developed an abscess or a perforation, the recovery will be slower and more complicated, needing the use of medications to treat the infection (antibiotics).

It is possible to live without appendix and no problem known about health is caused.

CONVALESCENCE

In most cases it is short and the patients salt the hospital between 1 and 3 days after the operation.

The normal activities can resume at the age of 3 later weeks to high.

RISKS

The risks of any intervention under general anesthesia:

  • Reactions to the medication.
  • Respiratory problems.
  • Hemorrhages.
  • Infections.

The additional risks for the apendicectomía are the derivatives of an abscess or of a perforation. In any of these cases:

  • The hospitable stay will extend.
  • It will have to continue an antibiotic treatment, usually during 10 ó 15 days.

ATTENTION:

Deaths keep on producing for the sharp appendicitis nowadays.

If a person has appendicitis symptoms (pain in the right low abdomen, fever, loss of appetite, morning sickness and vomiting), there must not be used warm cloths, enemas, laxatives, or other domestic treatments. It must come to urgencies as soon as possible.

COST

The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country. In this case, also, the indication happens in small children, when the care earlier, during, and after the intervention they are more exhaustive.

The costs can be ordained for groups:

  • Surgeon: 480,81 to 901,52 euros.
  • Anesthetist: 180.30 to 300,51 euros.
  • Hospital expenses, including taken care of infirmary and operating theater: 300,51 to 1.202,02 euros.
  • Medicines: 90,15 to 180,30 euros.
  • Other additional expenses, if complications exist (transfusions, etc...) or there are realized analysis or X-rays: 120,20 to 901,52 euros.

The changeability of every case is a fact being able to be considering to be a basic cost for 1.052,00 euros by intervention without complications.

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Writing: Medical equipment   Update: June, 2009
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