Appendicitis can be cured by appendectomy, and anti-inflammatory treatment is only temporary relief. The appendix is the degenerated small intestine of the body, which basically has no function and does not participate in digestion and absorption, so it has no effect on the body after resection. Appendicitis is caused by a combination of factors such as lumen obstruction and bacterial infection. Early inflammation is mild, congestion is less, operation is simple, time is short, and overall cost is less. Moreover, if the physical conditions permit, laparoscopic appendectomy can be performed, which has the advantages of less trauma, quick recovery and beauty, and can resume normal work, life and diet as soon as possible. However, if it is not removed, appendix infection will occur repeatedly, leading to intestinal adhesion, pelvic inflammatory disease and other diseases. Moreover, when appendicitis is seriously removed, serious complications, such as intestinal fistula, are prone to occur.

1. Acute appendicitis

(1) Obstructive appendix is a slender tube with only one end communicating with the cecum. Once blocked, secretions in the lumen can accumulate, and the internal pressure will rise, pressing the appendix wall and blocking the blood supply at the distal end. On this basis, bacteria in the lumen invade the damaged mucosa and easily cause infection.

(2) The main factor of infection is the direct infection caused by bacteria in the appendix cavity. If the appendix mucosa is slightly damaged, bacteria invade the tube wall, causing different degrees of infection.

(3) Other factors considered to be related to the disease include visceral nerve reflex caused by gastrointestinal dysfunction such as diarrhea and constipation, which leads to appendiceal muscular vasospasm, appendiceal cavity stenosis, blood supply disorder, mucosal injury and bacterial invasion, leading to acute inflammation.

2. Chronic appendicitis

Clinically it can be divided into two categories: recurrent appendicitis and chronic appendicitis. The former is mostly caused by the fact that the residual infection can not be completely removed from the focus when acute appendicitis attacks, and the condition is prolonged. The latter has no history of acute appendicitis, with obscure symptoms and inaccurate signs.