How is appendicitis abscess treated

summary

Periappendiceal abscess is the result of abscess caused by purulent appendix or perforated appendix. Due to excessive adhesions, difficult operation and difficult appendectomy, it can destroy the defense function of abdominal cavity and make inflammation spread. Traditionally, conservative treatment or abscess drainage are often used, but the symptoms can be relieved only by Western anti-inflammatory treatment, It takes a long time. Mild cases often have persistent sequelae and diseases. Severe cases may have abscess rupture, causing panperitonitis and peritoneal stump. The periappendiceal abscess is the result of the abscess formed by the purulent appendix or perforated appendix. Due to excessive adhesion, difficult operation and difficult appendectomy, the periappendiceal abscess can destroy the defense function of abdominal cavity and cause the spread of inflammation, However, it takes a long time to relieve the symptoms only under the anti-inflammatory treatment of Western medicine. Mild cases often have persistent sequelae and diseases, and severe cases may have abscess rupture, causing panperitonitis and peritoneal stump. So I got abscess around the appendix. Now let's talk about it.

How is appendicitis abscess treated

First: conservative treatment: appendiceal abscess has not yet broken perforation should be treated as acute suppurative appendicitis. If the appendiceal perforation has been wrapped to form periappendiceal abscess and the condition is stable, antibiotics or combined with traditional Chinese medicine should be used to promote the absorption and regression of the abscess, and ultrasound-guided puncture or catheter drainage can also be used.

Second: surgical treatment: if the abscess around the appendix is enlarged and there is no limited trend, B-ultrasound examination should be carried out first to determine the incision site, and then surgical incision and drainage should be carried out. Drainage was the main method of incision and drainage. If the appendix is easy to expose, it should also be removed. If the appendix root is complete, simple ligation should be performed. In case of gangrene and perforation of the appendix root, the cecal wall of the appendix opening can be closed by U-shaped suture. Postoperative support treatment and rational use of antibiotics were strengthened.

Third: diet and life control: 1. Strengthen the physique, pay attention to health. It is necessary to take part in physical exercise and physical labor on weekdays, which can strengthen the physique, improve the function of gastrointestinal tract and improve the body's resistance to disease. 2. Be careful not to catch cold and eat carelessly. Don't rush after meals. Don't drink too much cold in midsummer, especially ice beer and other cold drinks. Usually pay attention not to be too fat and greasy, to avoid excessive food irritation.

matters needing attention

Periappendiceal abscess is mainly caused by excessive inflammation or untimely treatment of appendicitis, acute appendicitis, pyogenic gangrene or perforation. If this process progresses slowly, the omentum can be moved to the right lower abdomen to wrap the appendix and form adhesion, forming an inflammatory mass or periappendiceal abscess.