Leonid Rogozov, 27, is a surgeon and the only doctor in the Antarctic expedition. One day, he suddenly had a high fever and pain in his right lower abdomen, and was diagnosed as appendicitis. No way, I had to do my own appendectomy and only injected local anesthetic into the abdominal wall! The point is, he succeeded! When he returned to work, he was really brave. He dared to face the bleak life and the dripping blood.

What is appendicitis?

Appendicitis is an inflammatory change caused by many factors, and it is a common surgical disease, which is most common among young people, with more men than women. Acute appendicitis is very common in clinic and can occur in women of all ages and during pregnancy. Chronic appendicitis is rare.

Symptoms and manifestations of acute appendicitis

1, abdominal pain

Typical acute appendicitis begins with pain in the middle and upper abdomen or around the umbilicus, and after several hours, abdominal pain transfers and is fixed in the right lower abdomen. Simple appendicitis often manifests as paroxysmal or persistent swelling pain and dull pain, and persistent pain often suggests suppurative or gangrenous appendicitis. Persistent severe pain affects the middle and lower abdomen or both lower abdomen, which is often a sign of gangrene and perforation of the appendix.

2, gastrointestinal symptoms

The gastrointestinal symptoms of simple appendicitis are not prominent, and nausea and vomiting may occur due to reflex gastric spasm in the early stage.

3. Have a fever

Generally, there is only low fever without chills, and suppurative appendicitis generally does not exceed 38℃. High fever is more common in gangrene, perforation or peritonitis of the appendix. Accompanied by chills and jaundice, it is suggested that purulent portal phlebitis may be complicated.

4, abdominal muscle tension

This is a sign of appendiceal suppuration, especially when gangrene perforation complicated with peritonitis. However, the abdominal muscles of the elderly or obese patients are weak, so it is necessary to check and compare the contralateral abdominal muscles at the same time to judge whether there is abdominal muscle tension.

How to treat acute appendicitis surgically?

1, acute simple appendicitis

Appendectomy and primary suture were performed.

2, acute suppurative or gangrenous appendicitis

Appendectomy;

If there is pus in the abdominal cavity, close the abdomen after removing the pus. Primary suture of incision.

3. Periappendiceal abscess

If the abscess has been confined to the right lower abdomen and the condition is stable, antibiotics combined with traditional Chinese medicine should be used to promote the absorption and regression of pus, and drainage can also be used.

If there is no limiting trend: B-ultrasound-guided incision and drainage, if the appendix is exposed conveniently, it should also be possible to remove the appendix;

If the appendix has fallen off, try to take it out and close the cecum wall to prevent intestinal fistula.

To prevent appendicitis, we must first eat regularly, not too hungry and full, and avoid strenuous exercise after meals. However, this can only reduce the probability of appendicitis.