APPENDICITIS – CONCLUSION

Where there is some doubt, the surgeon may make an incision in the mid line so that if another condition is found it can be easily dealt with through such an opening.

If the appendix is acutely inflamed, the surgeon will remove it and disturb the rest of the abdomen as little as possible.

In this way, he is least likely to spread infection or cause adhesions. If the appendix does not appear inflamed, he will still remove it, to save a further operation should it later become inflamed, and then will inspect the rest of the abdominal organs to find the cause of the patient’s symptoms.

Few parents still believe that a dose of castor oil will fix most childhood illnesses, so it is not so necessary to advise them that laxatives should never be given in cases of undiagnosed abdominal pain.

If the condition is acute appendicitis, the laxative may stimulate strong contractions of the bowel and lead to early perforation of the appendix.

This common condition of an acutely inflamed appendix may be the easiest or the hardest diagnosis to make and appendicectomy may be the easiest or the hardest of operations to perform.

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