Brief Note on Appendicectomy

In this article, we will discuss Brief Note on Appendicectomy. So, let’s get started.

Appendicectomy

The appendix is a small finger-like projection that comes off the cecum of the large intestine and has no apparent function (hypothetically) in the human. When the opening in the sac is blocked, it leads to an inflammation of the appendix called appendicitis. This condition occurs most commonly in the young, between childhood and young adulthood. Appendicitis is an emergency condition and requires urgent surgical removal of the appendix. Its position within the abdomen corresponds to a point on the surface known as McBurney’s point.

Positions

• Retro cecal or retro colic
• Pelvic or descending
• Sub cecal
• Pre & post ileal


Indications for Surgical Removal of Appendix

• Acute appendicitis
• Recurrent /chronic
• Appendicular mass
• Tumours
• Gangrene
• Perforation
• Peritonitis

Incisions used for Appendicectomy

• Mcburney’s grid iron incision
• Lanz’s transverse incision (cosmetic)
• Rutherford Morrison’s muscle cutting incision
• Laproscopy

Complications

• Wound infection
• Abdominal abscess due to spillage of bacteria after a ruptured appendicitis
• Bowel obstruction
• Urinary tract infection
• Haemorrhage
• Injury to the large or small bowel, ovary or other abdominal organs requiring removal
• Subphrenic or pelvic abscess
• Fecal fistula

Physiotherapy

• Regular and routine physiotherapy preoperative and postoperative regime.
• Drains may or may not be present as per need.
• Wait for intestinal peristalsis heard for diet.

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.