Appendectomy (Child)- Treatment in India
An appendectomy is specifically a surgery performed in order to remove a child’s appendix. The appendix is basically a small pouch which is attached to a portion of the large intestine. It is situated on the lower right side of the abdomen.
What is an Appendectomy?
An appendectomy is specifically a surgery performed in order to remove a child’s appendix. The appendix is basically a small pouch which is attached to a portion of the large intestine. It is situated on the lower right side of the abdomen. An appendectomy can be performed as an open kind of surgery. This has the process of cutting into the belly and removing the appendix out from the body or it may be done through one or several smaller and precise cuts using generally a camera and other essential small instruments. This is called a laparoscopic surgery.
What causes appendicitis in a child?
Appendicitis can occur when the inside portion of the appendix is blocked or hampered by something, leading to an infection. The blockage can be because of nose and mouth fluid which is called as mucus. It can also happen because of hard stools or parasites. The blockage can also be caused by a specific bend or twist in the appendix only. The appendix then becomes a little sore and inflamed or swollen due to infection. This is because the germs or bacteria in the appendix begin to increase rapidly . As the swelling and soreness get complicated, the blood supply to the appendix is stops.
All the parts of the body need the accurate amount of blood flow to remain healthy. When blood flow is decreased, the appendix initiates to die. The appendix will basically get burst or rupture as its walls start developing some holes. These holes allow stool, mucus, and some other substances which gets leak through and get collected in the belly or abdomen. A critical infection which is called as peritonitis can also occur in the belly when the appendix gets burst. If it is not treated, it can get critical.
Treatment of Appendectomy
Appendectomy (children) treatment- surgery in India will depend particularly on your child’s specific symptoms, his age, and regular health. Appendicitis is basically a kind of medical emergency. It is similar to the appendix that will burst down and cause a kind of serious, deadly and critical infection. Noting this, your child’s healthcare consulted will most probably suggest that your child will have to undergo the surgery process to cure and remove the appendix. Health consultant can also prescribe the antibiotics and fluids before the proceedings of the process of the surgery.
Surgery is the generally most prevailing treatment for appendicitis. Many a time, health consultant also suggest antibiotics for your child in place of the surgery.
The appendix may be treated in the following ways:
Traditional surgery - Your child is first given anesthesia. A precise cut or incision is made in the specific lower right-hand side of the belly of the child. The surgeon then discovers the appendix and separate it. If the appendix has already bursted, a tiny precise tube or shunt may be inserted to drain or remove out the pus and other kinds of fluids from the belly. The shunt will be removed out in course of some days, when the surgeon will know that the infection has gone.
Laparoscopic surgery - In this kind of surgery, first the kid is given anesthesia in order to make him unconscious, and he does not feel any pain. This process involve small incisions and a camera known as a laparoscope in installed to look inside the belly of a person. The surgical tools are first instalkes through by precise and small incisions. The laparoscope is then installed through a yet another incision. This process is not generally performed if the appendix has already burst down.
Interval appendectomy - Sometimes when the appendix bursts down, and a mass of infected fluid or pus called as abscess is developed. If this situation occurs and your child is stable, the health consultant will suggest not separating appendix right away. In this case, the doctor may want to cure the infection initially and then pour the infected fluid out from the abscess. The appendix will be separated later from the body. This late in surgery is called as duration of an appendectomy.
Generally, for an interval appendectomy, your child will be first prescribed doses of IV antibiotics. These are given by a kind of IV tube called as PICC line, generally a peripherally installed central catheter. This is performed for about the duration of 10 to 14 days. Along with this , the provider can also use a CT or ultrasound-guided pictures to drain the portion of abscess. As the infection and inflammation have vanished, your child will undergo a surgery to remove the appendix about after a time period of 6 to 8 weeks later.
After the completion of appendectomy, your child will be sent to the Post-Anaesthesia Care Unit, which is also called as the PACU or commonly called as recovery room. They will have to stay there for about one hour of time period. You can also visit your child once they wake up. Your child will then have to go back to the inpatient unit. For about 12 to 24 hours, they will have to stay there.
Your child is perfectly ready and fit to go home after:
Their heart rate and heart beats ate normal, breathing rate is regular, blood pressure and temperature are of normal level. And they can eat without vomiting or puking, and they are good with taking oral pain medicine.
What complications can happen?
Although the surgery of appendectomy for treatment of appendix is quite successful for removing the appendix from the large intestine and curing the problem but it has certain complications like-
- Appendectomy surgery can lead to injury to nearby organs of large intestine.
- Appendectomy can also lead to bleeding in certain organs after the surgery.
- Due to peritonitis, in which the appendix burst during surgery can lead to certain complications like redness swelling and inflammation.
- It can also lead to blocked and pain causing bowel movements.
- Infection and wound infection due to anaesthesia.
- Severe leakage from the large intestine from where the appendix was separated
- If appendix get burst before the surgery than the process can get more sophisticated and result in pro launched stay at hospital, and doses of antibiotic medications will also increase.
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