Process of Appendix Removal

member of Appendix remotionNatalija MillerProcess Description of Appendix Removal appendectomyThe appendix itself is a small, finger-like projection collide with the large intestine. Appendicitis is the firing of the appendix due to a block in the opening to the colon, or by an contagious disease (US National Library of Medicine, 2014). An appendectomy then, is the surgical effect d matchless to remove the appendix, usually in cases where acute appendicitis is present. The procedure is considered extremely recommended in cases where appendicitis may be suspected to reduce the possibility of a life-threatening contagion due to an appendix rupture (Johns Hopkins Medicine).Causes of AppendicitisAppendicitis is considered to set about aggregate arrests, including those that involve stools, mucus, bacteria and other organisms like parasites. These cause the appendix to swell, booster cable to annoying and inflammation. If the appendix then ruptures, those stools, bacteria, etc ., then leak into the abdomen and could cause a serious infection. Inflammation of the abdomen due to bacterial infection is known as peritonitis. Antibiotics, further operating room and/or (in some cases) product line transfusions maybe employ to treat this condition (Mayo Clinic, 2011).Diagnosis of AppendicitisGenerally, the mendelevium testament first inspect the abdomen and evaluate signs and symptoms. Often a alight hale is applied to some(prenominal) areas of spite, and then relieved quickly. Pressing bolt down on the site and letting go quickly should be substantially to a greater extent painful or discomforting in cases where appendicitis is present. Doctors leave behind often hear for what is termed, guarding the tendency to tighten the abdominal muscle muscles due to the increase in pressure against the inflamed area. Other helpful diagnostic testing may materialize to confirm appendicitis (ultrasound, white blood cell count, etc.), or to simply get other c omplications out (urine testing for kidney stones) (Mayo Clinic, 2014). It is important to note, however, that there are no tests to completely confirm the existence of appendicitis.Symptoms of AppendicitisCertain areas and intensities of pain are considered to be more symptomatic than others. It is important to report any of the side by side(p) to a physicianPain of the decline right abdomen or pain that travelled there from the midsection.Progressive pain (increase in severity as time progresses).Heightened pain with touch, coughing/sneezing, or certain movements.Nausea and vomiting. drop of appetite or desire to slang food.Fever/chills.Constipation/ licentiousnessLaxatives and other bowel regulating systems are exceptionally dangerous in cases of appendicitis due to their contribution to the risk of rupture. Pain medications should also be avoided to check up on that other sites of pain are not overlooked, preventing a physician from think a definitive diagnosis (Johns Hopk ins Medicine).appendicectomy VariationsOpen AppendectomyThis is a method where an clams go away be made in the lower right abdomen generally no more than 3 inches in diameter by which the physician can locate and extract the appendix.Laparoscopic AppendectomyThis is performed through several small incisions and a tube-shaped camera (laparoscope) used to locate the appendix for removal. The laparoscope is hooked-up to a monitor for the surgeon to view during the procedure. This method is not only considered to result in less scarring (shown in var. 1 below), but also lessen the amount of pain surgery results in, decrease length of hospital care, shorten recovery period, and lower infection rates (Johns Hopkins Medicine).Figure 1 Laparoscopic Appendectomy incision site practicable RisksThere are risks associated with the procedure, which includeInfected incision site.Peritonitis.Obstructed bowels (Johns Hopkins Medicine). doable bleedingReactions to anesthesiaPus build-up (US Nat ional Library of Medicine, 2014).Other risks may be possible depending on specific medical conditions report to the physician along with any concerns about the procedure (Johns Hopkins Medicine).ProcedureBeforeThe enlarge of the procedure bequeath be extensively described, as which point permit to perform said procedure will be requested. A advert of medications or medical concerns will be collected, and a sedative or anesthesia will be given to induce a relaxed state, allowing the act to begin.DuringAll clothing and jewlery will be outback(a) and a habilitate will be provided to change into.An intravenous (IV) line will be placed in the arm, wrist or hand.Physicians will request a supine position of the operating table (laying on back).An anesthesiologist will monitor all vital signs during the appendectomy.Open AppendectomyThrough the incision in the lower right quadrant, the abdominal cavity will be opened by separating the abdominal muscles, and the appendix will be remo ved through a process involving sutures (a series of stitches). In the case of a rupture, the cavity will be rinsed thoroughly with saline and drained. The incision will then be cleansed with an antiseptic to reduce the risk of infection.Laparoscopic AppendectomyA number of incisions will be made for the laparoscope and the instruments needed to extract the appendix. The abdominal cavity will be inflated with carbon dioxide through one of the incisions to allow for a clearer visual. Once the appendix is located it is tied off with sutures and removed. At the end of both methods, the appendix is examined in a laboratory setting, the incisions will be sealed and the wounds will be dressed with a sterile gauze (Johns Hopkins Medicine).Returning to Daily LivingAfter the procedure, it is recommended that locomote take place within a few hours or the quest day. Pain medication may be administered to provide a more comforting environment. It is important to progressively increase the so lidity of foods to ensure that the carcass can still consistently regulate itself. Once fulfill (usually afterwards a day or two), the incision site must be kept clean and dry (US National Library of Medicine, 2014). Avoid any strenuous activities until the follow up (2-3 weeks after surgery), for a physicians recommendations.It is extremely important to notify a physician if any of the following problems ariseLasting fever of over 101 degrees Fahrenheit.Any irritation at incision sites.Inability and/or lack of desire to consume fluids.Continuous coughing, shortness of breath and/or trouble breathing.Inability to have bowel movements (Johns Hopkins Medicine).Recovery to the point where normal, everyday activities can resume will generally take place between 2-4 weeks after being discharged (US National Library of Medicine, 2014).ReferencesThe Johns Hopkins Hospital and Health System. (n.d.). Appendectomy. Retrieved October 26, 2014, from http//www.hopkinsmedicine.org/healthlibrar y/test_procedures/gastroenterology/appendectomy_92,P07686/Mayo Clinic. (2014, August 20). Appendicitis. Retrieved October 26, 2014, from http//www.mayoclinic.org/diseases-conditions/appendicitis/ fundamentals/tests-diagnosis/con-20023582Mayo Clinic. (2011, July 9). Peritonitis. Retrieved October 26, 2014, from http//www.mayoclinic.org/diseases-conditions/peritonitis/basics/treatment/con-20032165U.S National Library of Medicine. (2014, October 9). Appendectomy MedlinePlus Medical Encyclopedia. Retrieved October 26, 2014, from http//www.nlm.nih.gov/medlineplus/ency/article/002921.htm