Appendicitis is not to say that it is the most common disease in general surgery, it is almost less, how can I say, more than 30% of our general surgery emergency inpatients are suffering from acute appendicitis! And the reason most patients with acute appendicitis come to the hospital unaware that they are suffering from appendicitis is that most of them are first-time offenders! The first sensation of these patients is often “stomach pain”, so when they and their families are told they have appendicitis, the first thing they say is: “What? Appendicitis? I’ve never had appendicitis before,” I would say, “Oh, that’s right, if you’ve had appendicitis before, it’s not acute appendicitis, it’s chronic appendicitis. The manifestation of appendicitis, most people first manifest stomach pain, or pain around the umbilicus, some can not say where the pain, anyway, not the right lower abdominal pain, and later, will gradually shift to the right lower abdominal pain, this! This is the typical manifestation of acute appendicitis, but of course, there are a few patients who have right lower abdominal pain at the beginning, accounting for about 30%! In addition to the metastatic right lower abdominal pain, appendicitis also manifests as nausea and vomiting! A few patients have abdominal distension, diarrhea, etc., which can be aggravated by prolonged abdominal pain, and may also have pain and fever in the whole abdomen. This point is the projection point of the appendix on the surface of the body, which we call the Macro point. When you have appendicitis, this point will be very painful to press, even at the beginning of the disease, when you still feel stomach pain, this point often already has pressure pain. When you get appendicitis, don’t expect it to get better on its own and then you can’t get it again, the appendix is left to the surgeon to roll, especially if you get appendicitis, if you don’t go down with gadolinium for the first time, more than half will get it again, and every time you get appendicitis, it will cost you a lot of money, and time! Don’t be afraid of surgery, he is not very sacred, nor mysterious, pull a small mouth in the lower right abdomen, only three or five centimeters, long is only six or seven centimeters, and now there is a laparoscope, no large mouth can also be on the surgery, there are generally no consequences, not to mention the injury, recovery is good and nothing! What are the complications after appendectomy? Postoperative complications are closely related to the pathological type of the appendix and the lateness of the operation time. After removal of unperforated appendicitis, the complication rate is only 5%, while the rate increases to more than 30% for those who operate after perforation, and the rate of appendiceal perforation is 20% and 70% for those who operate after 24 hours and 48 hours after the onset, so the appendix should be removed immediately within 24 hours of onset to reduce the incidence of complications.