Treatment of abscess in the appendix by laparoscopic surgery

The article is professionally consulted by Master, Doctor Nguyen Thai Binh - Gastroenterologist - Department of General Surgery - Vinmec Ha Long International General Hospital.

Appendiceal abscess is a complication of appendicitis but if not treated in time, leads to appendiceal rupture. Currently, there are many methods of treating appendicitis, including laparoscopic treatment.

Appendiceal abscess is a complication of acute appendicitis surrounded by the great omentum, mesentery and small intestine forming a pus-filled pocket, hence the name focal peritonitis. Appendiceal abscess is usually indicated for treatment by aspiration and drainage. If the appendix abscess is not located in the right iliac fossa but is located in the middle of the abdominal cavity or in the pelvis, surgery is needed to simultaneously resolve the abscess and remove the inflamed appendix.
When the appendix ruptures, the patient will initially feel better because the initial appendicitis pain will subside. However, this remission will not be long-lasting because a ruptured appendix will quickly lead to other health problems if not intervened and treated promptly. Without timely surgery to remove the appendix abscess, the patient can go into septic shock, and many other life-threatening complications can occur.

The main signs and symptoms of appendicitis are:
Frequent abdominal pain and loss of appetite Always have nausea or vomiting after each meal. The body is weak and has diarrhea Have a low fever from 38-38.5 degrees and cold hands and feet Frequently have symptoms of rectal bloating Also the most accurate way to recognize that appendix abscess is a patient who has had appendicitis before and has signs of continuous abdominal pain, then the patient needs to be taken to the hospital for an ultrasound to clearly see the location of the abscess.

Laparoscopic surgery to drain pus, aspiration pus or appendicectomy is the most effective and thorough treatment for appendiceal abscess. Most of the bacteria present in the purulent appendix are E. Coli. Normally, the loops of intestine and omentum are surrounded by pus and the inflammatory fluid is temporarily not drained, but when it ruptures, there is only surgery to remove the abscess to drain the pus, and at the same time remove the appendix to clean the abdomen. , use strong antibiotics for 6-8 weeks to avoid life-threatening infections.
Before surgery, the patient will have tests including:
Basic tests such as biochemistry, urine, blood. Electrocardiogram, chest x-ray for patients over 65 years old. Fast for at least 6 hours before surgery. Contraindications for laparoscopic appendectomy for the following subjects:
The patient's history of multiple abdominal operations Patients with severe comorbidities such as coronary artery disease, cardiovascular disease, pulmonary tuberculosis, .. Appendiceal abscess is a disease that can be treated easily, but if the patient is subjectively taking only antibiotics and not periodically monitored, it can lead to life-threatening complications. Therefore, according to medical experts in Vietnam, the surgical treatment of appendicitis by laparoscopic surgery is the most thorough and safest method of treating appendicitis.
When there are signs such as: dull abdominal pain in the pelvic area, severe pain intermittently, loss of appetite, loss of appetite, digestive disorders, bowel function, some patients may have a high fever. medical facilities for timely diagnosis and treatment.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of doctors, modern equipment and technology, but also stands out for its examination, consulting and service services. comprehensive and professional medical treatment; civilized, polite, safe and sterile medical examination and treatment space.
Master, Doctor Nguyen Thai Binh has more than 20 years of experience working in abdominal surgery. He is a former resident of Sainte Marguerite and Nord Hospitals (Marseille, France).