Does appendicitis have to be operated? This is a question that many appendicitis patients want to know. Appendicitis can cause abdominal pain, which seriously affects our health and daily life. So does appendicitis have to be operated on? I sorted out some knowledge. Come and get to know each other.

Does appendicitis need surgery? 1

Appendicitis can be removed without appendectomy.

In recent years, with the development of endoscopic retrograde cholangiopancreatography (ERCP), the treatment of acute suppurative cholangitis has changed from surgical treatment to endoscopic treatment. Through ERCP technology, bile duct stones can be removed without surgery, thus curing acute suppurative cholangitis. Compared with surgery, the treatment effect is greatly improved, and the mortality rate of patients is reduced from more than 40% to less than 6%. Inspired by this, the author put forward a brand-new non-invasive treatment for appendicitis-colonoscopy retrograde appendicitis (ERAT).

Appendicitis specific operation

Before operation, patients should improve the relevant physical and chemical examination, clean the intestines regularly, and give routine intravenous anesthesia or no anesthesia according to the patient's personal requirements and condition. Push the colonoscope with a transparent cap at the top to the ileocecum through the anus. Because the Gerlach flap covers the opening of the appendix, it is difficult to intubate in the appendix cavity. Open the valve with a transparent cap to expose the appendix opening, and it is very easy to intubate the appendix under the condition that the endoscope looks directly at the appendix opening. At the same time, we can observe whether there is swelling, redness, congestion and purulent secretion near the opening of the appendix, so as to judge the degree of inflammation. Seldinger technique was used to send guide wire and contrast catheter into appendix cavity through biopsy hole, and contrast agent was injected into appendix cavity for development under X-ray monitoring, so as to find the obstruction position or lumen stenosis in appendix cavity. According to the causes of appendiceal cavity obstruction, different treatment methods are selected. Inject that mixed solution of sterile physiological saline and antibiotic into a syringe connected with a biopsy channel for flushing and aspiration, and removing abscess in the lumen; By placing a stent in the appendix cavity, the stenosis in the cavity can be relieved, the appendix cavity can be drained, and the source of infection can be removed. After appendicitis dissipated by itself, the appendix stent was taken out, and the appendix cavity was cleaned with antibiotics to control inflammation. After X-ray film confirmed that the appendix cavity was unobstructed, it was withdrawn from colonoscopy. This can cure appendicitis and preserve the function of appendix.

Appendicitis doesn't have to be operated on, but it will still have an impact in the future if it is not operated on. Generally speaking, patients with appendicitis will have surgery, or they will be haunted by the disease all the time, so we should be prepared for the operation. Take good care after the operation, and you won't be bothered by this disease in the future.

Does appendicitis have to be operated? 2

Can appendicitis be treated without surgery?

Once appendicitis is diagnosed, emergency surgery is needed. If you really don't want surgery, you can consider conservative infusion of antibiotics. However, if conservative treatment is unsuccessful, emergency surgery is still needed, and it will lead to more complications and risks.

How to nurse after appendicitis operation?

1, in the early postoperative period, the patient will feel abdominal distension, because the operation has inhibited the peristalsis of gastrointestinal tract, and a large amount of gas has accumulated in the intestinal cavity, which cannot be ruled out. So at this time, no matter what you eat, you can't digest. Only when the patient has exhausted (commonly known as "fart"), indicating that the peristalsis of the gastrointestinal tract tends to be normal, can he eat.

2, even if you can eat, it does not mean that you can eat as usual immediately. Should strictly follow the doctor's advice, give a small amount of liquid, such as rice soup, after exhaustion, and then gradually increase the amount of liquid. Slowly transition to a semi-liquid liquid, such as porridge, and give some soft and digestible rice in about 5-7 days.

Although the operation is an invasive treatment, it does not mean to have a complete rest after the operation. Generally speaking, as long as the pain is not too severe, doctors will encourage patients to do bed exercises, such as deep breathing and physical exercise, so as to get up as soon as possible and prevent intestinal adhesion.