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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.
Harry Hancock performed the first abdominal surgery for appendicitis in 1848, but he did not remove the appendix. [27] 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.
Conservative treatment is a type of medical treatment defined by the avoidance of invasive measures such as surgery or other invasive procedures, [1] usually with the intent to preserve function or body parts. [2]
Appendicitis is the most common cause of abdominal pain that results in surgery in the United States, with about 5-9% of Americans having the condition at some point in their life, according to ...
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Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
In the United States, appendicitis is the most common cause of sudden abdominal pain requiring surgery. [1] Each year in the United States, more than 300,000 people with appendicitis, have their appendix surgically removed.
Abdominal radiography will show many air-fluid levels, as well as widespread edema. Acute ischemic abdomen is a surgical emergency. Typically, treatment involves removal of the region of the bowel that has undergone infarction, and subsequent anastomosis of the remaining healthy tissue. [5]