Dr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He has experience of treating numerous appendicitis patients  in Bangalore .

Call Now ! – +91-9972446882 for Appointments.

How common is appendicitis ?

• Appendectomy is the most common surgical procedure performed on an emergency basis.
• Acute appendicitis develops in approximately 10% of the population in Western countries.
• The maximal incidence occurs in an individual’s teens and 20s.

What causes Appendicitis?

• Appendiceal obstruction is the most common initiating event of appendicitis.
• Hyperplasia of the submucosal lymphoid follicles of the appendix accounts for approximately 60% of obstructions (most common in teens).
• In older adults and children, the fecalith is the most common etiology (35%).
• Necrosis and perforation develop when the arterial flow to the appendix is compromised.
• 

How is appendicitis diagnosed ?

Symptoms 

• The diagnosis of acute appendicitis is made by clinical evaluation. Although laboratory tests and imaging procedures can be helpful, they are of secondary importance.
• Classic. Appendicitis typically begins with progressive, persistent mid abdominal discomfort caused by obstruction and distention of the appendix,
• This is followed by anorexia and a low-grade fever (<38.5°C). As distention of the appendix increases, venous congestion stimulates intestinal peristalsis, causing a cramping sensation that is soon followed by nausea and vomiting. Ninety percent of patients are anorexic, 70% become nauseated and vomit, and 10% have diarrhea.
• The onset of symptoms to time of presentation is usually less than 24 hours for acute appendicitis and averages several hours

Physical examination

• The examination begins by assessing the patient’s abdomen in areas other than the area of suspected tenderness. Location of the appendix is variable. However, the base usually is found at the level of the S1 vertebral body, lateral to the right midclavicular line at McBurney point (two-thirds of the distance from the umbilicus to the anterosuperior iliac spine).
•  palpable mass in the RLQ suggests a periappendiceal abscess or phlegmon.

Laboratory evaluation.

• Complete blood cell count. A leukocyte count of greater than 10,000 cells/µL, with polymorphonuclear cell predominance (>75%), is common in the child and young adult with appendicitis. 
• Urinalysis is abnormal in 25% to 40% of patients with appendicitis. 
• Serum electrolytes, blood urea nitrogen, and serum creatinine are obtained to identify and correct electrolyte abnormalities caused by dehydration secondary to vomiting or poor oral intake.

Radiologic evaluation.

Diagnosis of appendicitis usually can be made without radiologic evaluation. In complex cases, however, the following imaging can be helpful.

Ultrasound Scan – Findings associated with acute appendicitis include an appendiceal diameter >6 mm, lack of luminal compressibility, and presence of an appendicolith. The perforated appendix is more difficult to diagnose and is characterized by loss of the echogenic submucosa and the presence of loculated periappendiceal or pelvic fluid collection.

Dr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He has experience of treating numerous appendicitis patients  in Bangalore .

Call Now ! – +91-9972446882 for Appointments.

Appendicitis treatment in Bangalore

Complications of acute appendicitis-

• Perforation is accompanied by severe pain and fever. It is unusual within the first 12 hours of appendicitis but is present in 50% of appendicitis patients younger than 10 years and older than 50 years. Acute consequences of perforation include fever, tachycardia, generalized peritonitis, and abscess formation. Treatment is appendectomy, peritoneal irrigation, and broad-spectrum intravenous antibiotics for several days.
• postoperative wound infection risk can be decreased by appropriate intravenous antibiotics administered before skin incision. 
• Intra-abdominal and pelvic abscesses occur most frequently with perforation of the appendix. P
• Enterocutaneous fistulas from a leak at the appendiceal stump closure occasionally require surgical closure, but most close spontaneously.

Dr Adarsh M Patil mbbs ms  Is one of the leading surgeons in Bangalore .15 years of experience in eminent hospitals like Manipal Hospital, Apollo Hospitals and Narayana Hrudalaya in Bangalore.

He has experience of treating numerous appendicitis patients  in Bangalore .

Call Now ! – +91-9972446882 for Appointments.