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An abscess (collection of pus) is a medical condition that may occur anywhere in your body, causing severe pain and discomfort. Appendicular abscess forms around an inflamed appendix (appendicitis) that bursts when left untreated. This may cause extreme abdominal pain towards the lower right side, a classic sign of an appendicular abscess. It may also present with fever, nausea, vomiting, and diarrhea. It is initially treated with antibiotics to eliminate the bacteria causing the abscess, which is later accompanied by incision and drainage (the abscess is punctured, and the pus is drained). Surgical intervention is important after a few weeks of incision and drainage to provide permanent relief and prevent the recurrence of appendicitis.
This article focuses on appendicular abscess surgery , the procedure, its benefits, and the potential risks involved, so read on!
An appendicular abscess is a type of abscess that usually forms as a complication of appendicitis (inflammation of the appendix). An appendix is a small finger-shaped sac or pouch that protrudes from your colon (a tube-like connecting organ between the small intestine at one end and the anus at the other) on the lower right side of your abdomen. When the appendicitis is left untreated, it may burst due to extreme internal pressure, which forms the fluid (mainly pus) to collect within a confined area around the burst appendix. This collection or pocket of pus is known as an appendicular abscess.
An appendicular abscess surgery is a procedure that aims to drain the abscess through surgical techniques. The pus is completely drained to shrink the abscess. This is usually done by 2 ways- percutaneous drainage or an appendectomy, where one or more incisions (cuts) are made to gain access to the abscess and surgically drained to remove the pus, in addition to the complete removal of the inflamed appendix. This procedure has the dual benefits of removing the appendicular abscess and the inflamed appendix to prevent further recurrence.
During your consultation visit, your surgeon will conduct a physical examination along with additional tests to confirm the size and the extent of the spread of the abscess.. These include:
Your surgeon will discuss the type of surgery (open or laparoscopic) that best suits your condition to help you prepare for the procedure physically and emotionally. The following guidelines are important for pre-procedure preparation:
The steps of an appendicular abscess surgery may vary depending on the specific case and the surgeon's technique. However, here are the general steps involved in the procedure:
Anesthesia: The patient is given general anesthesia to ensure they are unconscious and do not feel any pain.
Incision: The surgeon makes a small incision in the lower right side of the abdomen, where the appendix is located.
Exploration: The surgeon carefully explores the abdominal cavity to locate the appendix and identify any abscesses that may have formed.
Separation: The surgeon separates the inflamed appendix from surrounding tissues and blood vessels to avoid damage.
Removal: The surgeon removes the inflamed appendix and any abscesses that may have formed.
Drainage: If an abscess is present, the surgeon will drain it by making a small incision and using a suction device to remove any pus or fluid.
Cleaning: The surgical site is cleaned and any debris or fluid is removed.
Closure: The surgeon closes the incision with stitches or staples.
Recovery: The patient is monitored closely after the surgery to ensure that they are recovering properly. Pain medication may be prescribed to manage any discomfort, and the patient may need to stay in the hospital for a few days to ensure that there are no complications.
Post appendectomy, you will be kept in the recovery room for 1 to 2 hours. Your BP (blood pressure), respiratory rate, urine output, sugar level, pulse rate, heart rate, and other parameters will be monitored. You will be shifted to your room once you regain consciousness.
Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!
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