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The standard treatment for acute appendicitis involves the surgical removal of the inflamed appendix. [6] [12] This procedure can be performed either through an open incision in the abdomen or using minimally invasive techniques with small incisions and cameras (laparoscopy).
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.
Extirpation of the appendix, or appendectomy, is the standard treatment utilized in cases of acute appendicitis. [3] [4] Approximately 300,000 individuals in the United States have their appendix removed each year. [5]
Perioperative mortality has been defined as any death, regardless of cause, occurring within 30 days after surgery in or out of the hospital. [1] Globally, 4.2 million people are estimated to die within 30 days of surgery each year. [ 2 ]
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.
If properly treated, typical cases of surgically correctable peritonitis (e.g., perforated peptic ulcer, appendicitis, and diverticulitis) have a mortality rate of about <10% in otherwise healthy people. The mortality rate rises to 35% in peritonitis patients who develop sepsis, and patients who have underlying renal insufficiency and ...
The decision should be based on factors such as the patient's age, the size and anatomy of the appendix, and in case of appendicitis, standard appendectomy and herniorrhaphy without a mesh should be the standard of care. [5] Amyand's hernia is commonly misdiagnosed as an ordinary incarcerated hernia. Symptoms mimicking appendicitis may occur.
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.