What to do if you have acute chronic appendicitis

  Acute appendicitis is a common surgical condition and is the most common acute abdominal condition. About 70-80% of patients present with typical metastatic right lower abdominal pain. This means that the pain starts in the upper abdomen and gradually moves to the lower right abdomen, or in some patients, the pain starts in the lower right abdomen. When the distension persists or the severe pain is temporarily relieved, it is possible that the appendix is perforated and the pressure in the appendiceal cavity is reduced. Although it has been confirmed that the appendix is a lymphatic organ, the lymphatic tissue of the appendix begins to appear after birth, reaches its peak at the age of 12-20 years, and then gradually decreases, decreases significantly at the age of 30 years, and disappears completely after the age of 60 years. Therefore, removal of the appendix in adults does not impair the immune function of the body. Choosing appendectomy is a reasonable choice for this disease. Due to the improvement of the current medical level, most of the patients can seek medical treatment early, diagnose early and operate early to receive good treatment effect. Early surgery refers to the surgical removal of appendicitis when the cavity is still obstructed or when there is only congestion and edema, which is a simple operation and has few postoperative complications. If surgery is performed after septic gangrene or perforation, the operation is difficult and postoperative complications can increase significantly.  Most chronic appendicitis is a result of acute appendicitis, but a few may start as a chronic process. It is characterized by frequent pain in the right lower abdomen, some with only vague pain or discomfort, and acute attacks can be triggered by strenuous activity or dietary disorders. Some patients have a history of recurrent acute attacks. The main sign is limited pressure pain in the appendix area, which is more fixed in position and pressure pain is often present. Treatment requires surgical removal of the appendix after a clear diagnosis. Pathological examination is also performed to confirm the disease.  With the promotion of minimally invasive techniques, another option has been added to the treatment options for this disease. Because minimally invasive surgery is “less invasive and quicker to recover” and provides a comprehensive view of the abdominal cavity, even if other lesions exist in the abdominal cavity, most of them can be resolved through laparoscopic surgery. It occupies an important place in surgery and is constantly being upgraded. The emergence of single-port laparoscopic techniques has brought its minimally invasive effect to the forefront of treatment.