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For over a century, laparotomy (open appendectomy) was the standard treatment for acute appendicitis. [93] This procedure consists of the removal of the infected appendix through a single large incision in the lower right area of the abdomen. [94] The incision in a laparotomy is usually 2 to 3 inches (51 to 76 mm) long.
Currently, conservative management and surgery are the only treatment options for omental infarction with no consensus as to the best treatment modality. Having both acute appendicitis and omental infarction is extremely rare with only two cases reported in the literature: one in an adult female and the other in a 7-year-old girl. [2]
Appendicitis develops most commonly in the second trimester. [2] If appendicitis develops in a pregnant woman, an appendectomy is usually performed and should not harm the fetus. [16] The risk of premature delivery is about 10%. [17] The risk of fetal death in the perioperative period after an appendectomy for early acute appendicitis is 3 to 5%.
In cases of acute appendicitis, antegrade appendicectomy is the preferred option, but in cases where the base of the appendix is accessible but is difficult to identify or deliver its more distal portion, a retrograde appendicectomy becomes necessary.
The term abdominal surgery broadly covers surgical procedures that involve opening the abdomen . Surgery of each abdominal organ is dealt with separately in connection with the description of that organ (see stomach , kidney , liver , etc.) Diseases affecting the abdominal cavity are dealt with generally under their own names.
Prior to surgery, the bowels are typically cleared with a routine called bowel prep. [20] Bowel prep can be performed at home the 1–2 days before surgery or in some instances, occurs in a hospital before the operation. [20] Bowel prep may require magnesium citrate drink to empty the colon. [21] Bowel prep is done to reduce infection risk. [22]
Surgery could be required to remedy or treat certain problems or diseases that affect the digestive tract. There are many different types of digestive system operations, some of the more popular ones being: 1. Appendectomy: The surgical removal of the appendix, typically as a result of acute appendicitis, an appendix inflammation. 2.
Guarding is a characteristic finding in the physical examination for an abruptly painful abdomen (an acute abdomen) with inflammation of the inner abdominal (peritoneal) surface due, for example, to appendicitis or diverticulitis. The tensed muscles of the abdominal wall automatically go into spasm to keep the tender underlying tissues from ...