What is the appendix? Appendix surgery for child
What is the appendix and Appendix surgery for child?We are talking about Appendix surgery for child in here. First we have need about appendix. The Appendix is an attenuated organ left by human evolution. However the appendix has no particular purpose in the human intestinal structure, it is positioned alongside the lesser right side of the great intestine. The little finger like the projection is part of the bowels. There is no adverse effect if it is missing or even if it is surgically removed.
What Causes Appendicitis in Children?Appendix surgery for child
The appendix will swell when infected and cause appendicitis. This can occur in arrears to two foremost reasons in children. The first is a bacterial infection, and the second is a hard little patch of feces getting stuck in the appendix tube. As the appendix swells, it seals and infection continues to develop in the weakened organ. The pollution dismisses cause a lot of injury if the signs are ignored. Learn more about Appendix surgery for child.
Appendicitis in children: Most 5 symptoms that should alert Appendix surgery for child
Appendicitis is the sudden inflammation of the appendix. The latter is a segment of the intestine that measures ten centimetres long and a few millimetres wide. Residues of fecal matter or more rarely a foreign body can block the appendix and cause bacterial multiplication.
This causes the infection, which extends to the entire wall of the segment of the intestine. If it improvements, appendicitis can takings a thoughtful formula, such as peritonitis.Learn more about Appendix surgery for child.
An appendectomy is then necessary: the operation consists of removing the appendix . This intervention is very common, especially in children and young adults, who are particularly affected. Appendicitis can be difficult to identify. Symptoms may resemble those of gastroenteritis. At this point are the symbols that can attentive parentage’s. Learn more about Appendix surgery for child.
Before 5 years, redouble your vigilance Appendix surgery for child
“The diagnosis is generally exciting if the young adult is less than 5 years childhood,” says Dr. Chamond, pediatric primeval surgeon. The signs are comparable to individuals of gastroenteritis”. The signs may be fever, vomiting and / or diarrhea, fatigue. The child is surrounded, pale, irritable, and has abdominal pain with a stiff abdomen.
Hence the importance of parents to be extra vigilant if they present these symptoms. “If the exact judgment is not fit documented, here is a risk of peritonitis, to be betrothed exceptionally,” says the professional. Learn more about Appendix surgery for child.
Between the ages of 7 and 11, the frequency of appendicitis is particularly high, and the symptoms are more identifiable. What are they? We take stock.
Symptom 1: abdominal pain
Also, among the symptoms that should alert you , there is pain in the middle of the stomach, around the navel. Then it migrates down to the right. The pain is permanent and constant, worsens within 24 hours and when the child is walking or standing. Learn more about Appendix surgery for child.
“Regularly, I realize patients with their reverses openness frontward, for the reason that observance an authentic situation is too painful,” says Dr. Chamond. In the happening of a violence of appendicitis, the pain does not pass, it is permanent. Learn more about Appendix surgery for child.
Symptom 2: a mild fever
An attack of appendicitis can be accompanied by a fever. But this one is still light. “It is between 38 degrees and 38.3 degrees” , estimates the pediatric visceral surgeon. Learn more about Appendix surgery for child.
Symptom 3: nausea and vomiting
A child with appendicitis may feel nauseous and may vomit. This is the cause why doctors occasionally require struggle analyzing appendicitis, which can be disorderly with gastroenteritis or food poisoning. Learn more about Appendix surgery for child.
Symptom 4: loss of appetite
“Injury of appetite is a exact communal indication of appendicitis in children”, informs Dr. Chamond. It is a characteristic symptom of inflammation of the intestine.
Symptom 5: a stiff stomach
The stomach is rigid, especially during palpation. If the child suffers from appendicitis, it will be impossible for him to inflate his tummy and dig it. “Usually a child breathes while moving his belly. In situation of appendicitis, his can understanding pain when living”, indicates the professional.
Appendicitis in children: Surgery is not mandatory
Researchers say that some children who have had an appendectomy (surgical removal of the infected appendix) could have been treated exclusively with antibiotics. In case of appendicitis, the surgical act is often preferred. In addition, the treatment would reduce the time and cost of hospitalization.
On the event of appendicitis in children, the standard treatment is surgical and consists of an appendectomy, ie removing the infected appendix. Although commonly performed, this operation presents the risk of complications and the disadvantage of convalescence which can be important.
The surgeon fixes the duration of rest at home, as well as the duration of sports exemption, according to the surgical technique used and the post-operative consequences. Researchers at the University of Southampton specify that surgery can be avoided in some cases, because there is an alternative solution: antibiotics, frequently administered before each operation with painkillers.
A choice given to patients before appendix surgery for child Appendix surgery for child
The study, the UK’s public health system, included over 100 children aged 3 to 15 from the UK, Sweden and New Zealand. The latter were divided into two groups: those of the first were assigned to appendectomy, and those of the second to active observation following the administration of antibiotics.
After following them for a year after treatment or operation, the researchers found that six children in the “active observation group” presented with recurrent acute appendicitis, and three children in the “operation” group developed complications (hernia, wound infection).
Could these findings prove useful for clinicians, parents and children faced with a decision about the type of treatment: antibiotics followed by active surveillance, or antibiotics followed by surgery? “More than three-quarters of children could avoid appendectomy during early follow-up after nonsurgical treatment.
Although the risk of complications after appendectomy is low, complications can be serious. The “Interval and Recognize “process, protective an appendectomy for persons who improvement a return, results in infrequent periods in the doctor’s office and is fewer private than routine appendectomy, ”the private detective realize.
- Appendicitis is usually suspected on a physical examination by a doctor.
- Diagnosis is often difficult in young children (misleading signs such as diarrhea) and may require repetition of clinical and additional examinations.
- Often a blood test (looking for a possible increase in the number of white blood cells indicating infection and CRP (reactive protein C) indicating inflammation). Sometimes an ultrasound to help determine the diagnosis. More rarely, a CT scan of the abdomen is necessary for patients when other examinations do not give definitive results.
- A urine sample can rule out the possibility of a urinary tract infection.
Diagnostic Appendix surgery for child
- Sometimes other imaging tests
- Sometimes a laparoscopy
The diagnosis of appendicitis in children can be difficult for many reasons. Many disorders can cause similar symptoms, including viral gastroenteritis, Meckel’s diverticulum, intussusception, and Crohn’s disease. Often, children, especially young children, do not have the usual symptoms and clinical test results, especially when the appendix is not in its usual position in the lower right abdomen. This absence of typical symptoms can be misleading.
Most of the time, doctors do ultrasound, which does not expose the child to radiation. . Uncertainty the diagnosis is uncertain, computed tomography (CT) or magnetic resonance imaging (MRI) may be done. If appendicitis is suspected, intravenous fluids and antibiotics are given, pending the results of blood and urine tests and imaging tests.
Strange the diagnosis is uncertain, doctors may perform a laparoscopy , which involves inserting a small fiber-optic probe into the abdomen to observe the interior. If appendicitis is detected during laparoscopy, doctors can remove the appendix using the laparoscopy.
Alternatively, especially in children whose symptoms and test results are not characteristic of appendicitis, doctors may simply repeat clinical tests. Determining if symptoms and tenderness are getting worse or better can help doctors confirm the presence of appendicitis. Physicians too memorandum the instruction in which the warning sign perform.
After care for children with appendicitis Appendix surgery for child
Pain medication will be provided to the child after surgery along with a course of antibiotics. The child is put on a liquid diet following the surgery so that the digestive system is not put under abnormal pressure. Over a week, the child will move clear fluids on a regular regimen. Corrections above the incisions will need to be checked and changed daily until the skin crusts.
Children are not turned away from the hospital until they have conquered the intermittent fever resulting from appendicitis. The health care professional will ask the parents to check for normal recovery of bowel function. Ideally, the child should not return to school for about a few weeks after the surgery. They should actually be excused from the gym and sports for at least 4 weeks after surgery.
Parents should be on the lookout for any swelling around the incisions. They should immediately contact the doctor in case the child develops fever, vomiting, bleeding, or pain in the incision site. There is a possibility of secondary infections occurring after surgery and parents should remain vigilant.
Possible complications without treatment
In the absence of treatment, appendicitis will progress more or less rapidly towards diffusion of the infection into the abdominal cavity, generating peritonitis or intra-abdominal abscesses, which without treatment can be fatal.