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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]
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.
He was professor of surgery from 1889 to 1907, and thereafter became emeritus professor of surgery. He continued to advance the treatment of appendicitis, [2] and in 1894 he described the incision that he used; [3] although the incision had previously been described by Louis L. MacArthur, it became known as McBurney's incision. [4]
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 ]
Image credits: waterbottlejesus #5. My mother was diagnosed with breast cancer early in her pregnancy with me. She put off any kind of treatment until after I was born.
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 ...