Laparotomies appendectomy
Patients before surgery requires minimal preparation. They shave the abdominal wall and prohibit acceptance of food and water before the appendectomy.
The operation is performed under local anesthesia or General anesthesia. Removal of the Appendix using incision volkovych-Mac-Barney. Adrectal access is used in cases when diagnosis is not clear. After opening the abdomen find the vermiform Appendix, the base of which is located in the dome of the cecum, where joins three muscle tape. Free access allows you to examine the ileocecal area. Then the Appendix is removed in the wound, mobilize, ligious, dissect the mesentery. On the basis of Appendix impose catgut, above which the appendage is cut off. On the stump impose z-figurative and purse-string sutures. Spend toilet of the abdominal cavity, suture the wound, and if necessary, drain it. After appendectomy possible temperature rise and hold it during the week.
Traditional surgery to remove the Appendix requires compliance with bed rest in the first days, applying cold to the wound and pain medication. Usually, in the absence of postoperative complications, intestinal motility is restored after 2 days. If the patient no dyspepsia after 12 hours after surgery allowed to drink and take liquid food. Special diet after appendectomy is not provided,but return to ordinary diet should be gradual. With the development of complications shown antibiotics.
Laparoscopic appendectomy
Alternative to painful traditional surgery is the laparoscopic appendectomy. With the help of modern equipment it is possible to remove the Appendix through the vagina and even mouth. Through the mouth to the operating place down a very thin tools that make them the microscopic hole and penetrate into the abdominal cavity. After the removal process the seams do not impose.
The advantages of this method of treatment of appendicitis are: minimal post-operative period, fast recovery after surgery, discharge from hospital after a few hours, low risk of complications, since in this method to infiltrate the bacteria into the abdominal cavity is practically impossible. But despite this, the likelihood of internal bleeding still exists.
The method of treatment of appendicitis much more effective than traditional methods.