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Appendicitis: Appendectomies
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Appendicitis can be treated by removal of the appendix through a surgical procedure called an appendicectomy (... known as an appendectomy). The incision of appendectomy can be a Gridiron incision, a Lanz incision, or the midline incision.
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For Patients and Families Sometimes the child is first diagnosed with appendicitis after the pus or abscess around the appendix is consolidated or walled-off in one area. Then the pus may be drained, the patient placed on antibiotics and the appendix removed several weeks later after the irritation from the appendicitis is resolved. This is called an interval appendectomy.
Based upon the current standard of care, an estimated 700,000 patients in the U.S. are diagnosed with appendicitis and have their appendixes surgically removed. However, an estimated 1 in 5 to 1 in 7 (14% to 20%) appendectomy surgeries remove a normal appendix due to an incorrect diagnosis. This would mean more than a 100,000 unnecessary surgeries occur every year at a great cost to patients, insurance companies and create unnecessary pain, suffering and risk to human life and possibly other ongoing patient health issues.
If graded compression sonogram of the RLQ is positive for appendicitis, appendectomy should be performed. If negative, this finding is not sufficiently sensitive to rule out the possibility of appendicitis. Consideration should be given to further observation and focused helical CT with rectal contrast enhancement.
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The only treatment for appendicitis is surgery to remove your appendix (appendectomy). If you have appendicitis and do not have surgery in time, your appendix can burst. A burst appendix can cause serious problems. It’s best to remove the appendix before it bursts.
In a consecutive series of 108 patients undergoing appendectomy at St. Martha's, 86.1 % had acute appendicitis. This is in line with reported results from other centers. There were no returns to the OR, and only one readmission.
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