Acute appendicitis is an acute septic inflammatory disease with an incidence rate of about 1:1000 and can occur in people of any age, so the general public seems to know a lot about this disease. But in fact, the diagnosis and treatment of acute appendicitis is not as simple and easy as one might think. What exactly are the annoying complications for a minor surgery like appendix? 1, intestinal adhesions and intestinal obstruction: appendectomy requires access to the abdominal cavity, on the one hand, inflammatory stimulation of the appendix may cause intestinal adhesions, on the other hand, both the surgical instruments and the surgeon’s hands into the abdominal cavity for surgery may also lead to local exudation, so some patients may develop intestinal adhesions and intestinal obstruction after surgery, although the chance of complications is less than ten percent, but the symptoms of intestinal obstruction will probably Although the complication rate is less than 10%, the symptoms of intestinal obstruction may recur, and although it can be improved by conservative treatment methods, it will affect the quality of life of patients to a certain extent. 2.Stump fistula: It is the poor healing of the appendix root after appendectomy due to tissue edema, long-term use of hormonal drugs and other reasons. At this time, the colon contents may flow into the peritoneal cavity causing severe peritoneal irritation, which often requires secondary surgery, and even with active surgery, it is difficult to re-suture the appendiceal root and only peritoneal irrigation and drainage can be performed, a direct consequence of which is that the hospital stay is greatly prolonged and the medical costs may be significantly increased. 3. Incisional hernia: This condition occurs more frequently in diseases such as periappendiceal abscess, and the reason is that the incision is contaminated by intestinal contents or abdominal exudate, and the healing speed of the incision is also affected to some extent. As the incision is contaminated with bacteria, the incision is much less firm and the chance of forming an incisional hernia jumps to more than 50%, so the population should have a very deep understanding of the surgical approach and the various complications. How acute appendicitis should be managed in special persons: Acute appendicitis can occur at any age, and pregnant women can also develop the disease. In the first trimester of pregnancy, the clinical presentation is similar to that of general acute appendicitis. In the second trimester, the uterus enlarges faster, and the appendix and appendix are pushed to the right upper abdomen by the enlarging uterus, so the location of pressure pain is also moved upward, and the pressure pain point is already moved up to two fingers above the iliac crest in the eighth trimester. Because the greater omentum and small intestine are also pushed toward the upper abdomen by the uterus, when perforation occurs in late pregnancy, it is difficult for the greater omentum to wrap the appendix, which may result in diffuse peritonitis. Surgical treatment is advocated for early gestational appendicitis, when only conservative treatment with penicillin is possible due to the critical time period of embryonic development, and its effect is king wagner, but surgery should be considered as soon as severe mid-gestational appendicitis is diagnosed. Surgery for appendicitis of pregnancy will not interfere with pregnancy more than the inflammatory peritoneal exudate interferes with pregnancy, and the consequences of any appendicitis of pregnancy, once perforated and causing diffuse peritonitis, will only be more severe than those of non-expectant appendicitis.