What to do if appendicitis becomes purulent

When appendicitis is more serious, it can cause suppuration. If it is not treated promptly, it may cause perforation, which poses a great threat to the patient's life. Therefore, if you have acute appendicitis, you must go to the hospital for treatment in time. Generally, surgery can provide good treatment. If misdiagnosis or improper treatment occurs, it may lead to serious complications, which will have a greater impact on health.

What to do if appendicitis becomes purulent

1. Non-surgical treatment:

It is mainly suitable for acute simple appendicitis, appendix abscess, acute appendicitis in early and late pregnancy, and appendicitis in the elderly with major organ lesions. 1. Basic treatment: including bed rest, diet control, appropriate fluid replacement and symptomatic treatment. 2. Antibacterial treatment: Choose broad-spectrum antibiotics (such as ampicillin) and anti-anaerobic drugs (such as metronidazole).

(ii) Surgical treatment:

It is mainly suitable for various types of acute appendicitis, recurrent chronic appendicitis, appendix abscess patients who still have symptoms after 3-6 months of conservative treatment, and patients who do not respond to non-surgical treatment. 1. Preoperative preparation: No eating or drinking should be allowed 4-6 hours before the operation. Appropriate amount of analgesics can be given after the operation time is determined. Broad-spectrum antibiotics should be given to those with suppuration and perforation. Patients with disseminated peritonitis need gastrointestinal decompression, intravenous infusion, and attention to correcting water and electrolyte disorders. Those with dysfunction of major organs such as the heart and lungs should consult with relevant departments for appropriate treatment.

2. Surgical method: It is most appropriate to complete the operation through an oblique incision in the right lower abdomen under local anesthesia. A small number of patients can also choose epidural anesthesia and general anesthesia through an exploratory incision in the right lower abdomen. The main method is appendectomy (conventional method and retrograde method). If adhesions are severe, subserosal appendectomy can also be performed. In a few cases of appendix abscess that are ineffective with conservative treatment, incision and drainage can be performed. When there is a lot of abdominal exudate, a drainage device can be placed. 3. Postoperative treatment: Continue supportive treatment, including intravenous infusion, analgesia, sedation and anti-infection, etc. The drainage material should be removed promptly, the incision should be folded on time, and attention should be paid to preventing and treating various complications.

<<: What is McBurney's point of the appendix?

>>: How many days in hospital for appendectomy surgery