Inflammation of the appendix is known as appendicitis. Most common surgical emergency encountered worldwide. Traditionally it was treated by open appendectomy. Now laparoscopic appendectomy has become the procedure of choice worldwide.
Usg: Ultrasound can detect inflammed appendix with reasonable accuracy and it is usually first investigation done done to detect appendicitis.
CT scan is being incresingly preffered because it is operator independent and it has shown to decrease negative appendectmies.
MRI is used in pregnant women to detect appendicitis.
Lab tests such as total count, differential count and C reactive protein are also done.
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Treatment
Patient is usually started on antibiotics and iv fluids are given. Open appendectomy:
In this procedure abdomen is opened in layers by putting 2 inch incision over right lower quadrant of the abdomen. Laparoscopic appendectomy: keyhole incisons made. Cosmetic. Has become the procedure of choice. It is also used when diagnosis is in doubt. As it can be used to rule out gymaecological problems it is very useful women of reproductive age group.
