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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 .
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]
Hospital lengths of stay typically range from a few hours to a few days but can be a few weeks if complications occur. The recovery process may vary depending on the severity of the condition: if the appendix had ruptured or not before surgery. Appendix surgery recovery is generally much faster if the appendix does not rupture. [103]
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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.
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. [3]
Here he did his most famous work on appendicitis, presenting his report on operative management to the New York Surgical Society in 1889. [1] He described the point of greatest tenderness in appendicitis, which is now known as McBurney's point. He was professor of surgery from 1889 to 1907, and thereafter became emeritus professor of surgery.
It is found in patients with localised peritonitis due to acute appendicitis. [1] It is similar to rebound tenderness , but may be easier to elicit when the patient has firm abdominal wall muscles. Abdominal pain on walking or running is an equivalent sign.