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Recurrence of appendicitis after appendectomy


Real investment has appendix removed appendectomy (appendix abscess incision and drainage within the meaning of this is not a range) postoperative recurrence of appendicitis. The appendix has been 7 cases. M 3 inverted. woman 5 down. aged 25 to 47 years old. an average of 35 years. the incidence of recurrent appendicitis operation time from the first 3 days to 5 years 7 reoperation shed the milk teeth down all except the appendix, again after the operation time in the first 27 days ~ l3 years. intraoperative see the remaining length of the appendix were 1.2,1.5,1.8,2.0,2.2, z.5 and 3 .5 cm. Average 2lcm. 1.2 after clinical presentation, diagnosis and treatment? all have the right lower back pain symptoms of Xinjiang. 2 of them down in the first 3 days after surgery to patients was underway. the other 2 cases were well made wound unhealed fistula , and 2 down in the last peritonitis during hospitalization with conservative treatment. Another l pour about 1 more than a year after the beginning. right lower abdominal pain and other symptoms often attack. check with right lower quadrant cecum, Auxiliary examination: B checks in 2 cases (1 will help diagnosis down). In addition to 2 cases of fistula, the other 5 were repeated inverted misdiagnosed as appendicitis,[link widoczny dla zalogowanych], annex inflammation or adhesions cecum (2 down nor suspected cause of the fistula and appendicitis caused by the residual). 2 down 3 days after symptoms were underway, the consultation and the residual appendicitis may be suspected, and surgical exploration once again stalk; 2 down the conservative difficulties to understand the process of meningitis symptoms are forced to re-j Zi surgery, 2 trapped shed the milk teeth back again pay attention fistula 1 case of recurrent surgical conservative treatment fails trapped line cecum duct exploration. The group of 7 down the smooth postoperative recovery was recovered. Patients were followed up 1 to 3 years, no symptoms of recurrence. 2.1 Diagnosis of residues 2 to discuss the diagnosis of appendicitis, although the end result of Li has been removed, diagnosis of this disease vigilance, it is possible to make a correct diagnosis. 21.1 careful history taking, in order to provide an important reference to the diagnostic information to ask the patient's condition before the initial surgery, the hospital in any line of jerk surgery,[link widoczny dla zalogowanych], surgeon's business analysis estimates the level of post-operative play through the 51 *} and so on. This group has 2 down, after 3 days of the initial symptoms of the patients was underway, and initial operation is in a disadvantaged township hospitals travel. surgeon t plus years of very low cross surgeon's medical education system is not received, etc., which suspected the presence of residual appendicitis. profit operation again. 2.1.2 In addition to regular medical examination. pay attention to check whether the right lower abdomen, back disease cecum, Check is sick supine knees, orange Chi abdominal muscles, palms flat on the ileocecal part of the right lower quadrant patients. Pressure gradually, at this time,[link widoczny dla zalogowanych], the examiner if they feel intestinal gas from the hands of crowd out, or twist made sense, or hear the gurgling sound, which is That might have appendicitis. Have used the sign of the diagnosis of chronic appendicitis. This method is simple and high accuracy, we found that residues of this method is also helpful in the diagnosis of appendicitis,[link widoczny dla zalogowanych], the group 3 do have the shallot. The mechanism may be, appendix, inflammatory changes occur, in order to alleviate the difficulties referred pain arising from peristalsis. Reflected the body through the nervous system caused by ileocecal bowel motility decreased. 2.1.3 cecal pneumatosis caused due to the supplementary examination: According to reports, B-a diagnosis of atypical appendicitis, the diagnosis of appendicitis can help residues. B-display and close to the cecum. An echo from the mucosa and thickening of the wall surrounding the past ten anechoic chamber. Appendix constitutes a fixed structure. Is the infection of the appendix. Appendix contrast radiography examination: colonoscopy can find open appendectomy, the appendix, thin tube inserted into cavity with lipiodol or barium radiography Sung servant examination, such as the film showed the appendix stiff, twisted, incarcerated, or residual fecal appendix had long. Can help diagnosis. 2.2 The treatment should once again to remove the appendix, surgery is generally not much difficulty, the group recently re-operation after the first 2 down. Also do not feel sleepy inflammatory mass, severe adhesion and easy operation. Incision should adopt the right lower rectus abdominis incision, enabling the full exposure of the operative field, the operating pit is easy. The formation of a fistula who should pay attention to aseptic technique, cut the net leakage past. Do not drive so as not to wound. 2.3 Residual anatomical appendix from the perspective of the prevention of colon to the appendix with a retrograde muscular,[link widoczny dla zalogowanych], so. If surgery can be fully exposed ileocecal, colon along with the appendix to find the real roots are to confirm the appendix, can be completely ignorant of the kitchen tail cut, to avoid residual appendix.
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