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The human appendix averages 9 cm (3.5 in) in length, ranging from 5 to 35 cm (2.0 to 13.8 in). The diameter of the appendix is 6 mm (0.24 in), and more than 6 mm (0.24 in) is considered a thickened or inflamed appendix. The longest appendix ever removed was 26 cm (10 in) long. [3]
By using the patient’s own appendix for the procedure, doctors can avoid using artificial devices which can be seen and can cause the patient irritation. [1] If the appendix was previously removed or is unusable, a neoappendix can be created with a cecal flap. [2] A. Button device in the cecum via the appendix. B.
Harry Hancock performed the first abdominal surgery for appendicitis in 1848, but he did not remove the appendix. [26] In 1889 in New York City, Charles McBurney described the presentation and pathogenesis of appendicitis accurately and developed the teaching that an early appendectomy was the best treatment to avoid perforation and peritonitis.
Inflamed appendix removal by open surgery Laparoscopic appendectomy. Laparoscopic view of a phlegmonous cecal appendix with fibrinous plaques, located in the right iliac fossa. The surgical procedure for the removal of the appendix is called an appendectomy. Appendectomy can be performed through open or laparoscopic surgery.
Ileum, caecum and colon of rabbit, showing Appendix vermiformis on fully functional caecum The human vermiform appendix on the vestigial caecum. The appendix was once believed to be a vestige of a redundant organ that in ancestral species had digestive functions, much as it still does in extant species in which intestinal flora hydrolyze cellulose and similar indigestible plant materials. [10]
[1] [2] It descends behind the termination of the ileum and enters the mesoappendix of the vermiform appendix. It runs near the free margin of the mesoappendix and ends in branches which supply the appendix. Micrograph of entry point of appendicular arteries (arrows at level of inner muscular layer), not to be confused with a perforation.
The appendix apparently serves as a "safe house" for the good bacteria, protecting that supply of bacteria from contamination and facilitating a re-start of the system once the contaminating organism has been eliminated. (J.
In humans, the vermiform appendix is sometimes called a vestigial structure as it has lost much of its ancestral digestive function. Vestigiality is the retention, during the process of evolution , of genetically determined structures or attributes that have lost some or all of the ancestral function in a given species. [ 1 ]