Is there a scar from appendicitis surgery?

Written by Ren Zheng Xin

Gastroenterology

Updated on December 08, 2024

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Appendectomy involves cutting into the skin, so scars remain on the body after healing. The traditional surgery method through McBurney's point leaves a larger scar, whereas the current laparoscopic treatment, which involves removing the appendix through laparoscopy, only leaves three small incisions on the body and results in smaller scars. Recovery is also faster, making this minimally invasive treatment a preferable option for those who are highly concerned about aesthetics. Additionally, postoperative care is crucial; eating is not allowed on the day of the surgery, a semi-liquid diet is recommended for the first 1-2 days post-operation, and a normal diet can be resumed after 3-4 days.

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Written by Ren Zheng Xin

Gastroenterology

35sec

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Is appendicitis prone to recurrence?

For acute appendicitis, if the appendix is not removed surgically, it is relatively prone to recurrence, and chronic appendicitis may also develop. Therefore, once appendicitis is diagnosed, surgery to remove the appendix is generally required. The more commonly used surgical method is laparoscopic appendectomy. This method involves less bleeding during the surgery and quicker postoperative recovery, with minimal damage to the body. Only small scars can be seen on the body surface, making it a preferable option for those concerned about aesthetics.

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Written by Huang Gang

Gastroenterology

1min

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Acute appendicitis clinical features

Acute appendicitis generally presents primarily as abdominal pain, specifically migratory pain to the lower right abdomen. Initially, the patient may experience stomach pain, which gradually shifts to pain in the lower right abdomen. Whether it is appendicitis needs to be diagnosed by a physical examination by a doctor, or an ultrasound of the appendix during the acute phase can be performed. If the appendix appears significantly swollen on the ultrasound, it can also confirm the diagnosis of acute appendicitis. Typically, the best treatment for acute appendicitis is surgery, especially if the condition is very severe and critical, as it may lead to perforation of the appendix and result in purulent peritonitis, which is very serious and life-threatening. Therefore, once diagnosed with acute appendicitis, it is best to be hospitalized for surgery.

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Written by Zhu Dan Hua

Gastroenterology

1min 25sec

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Can appendicitis cause a fever?

Appendicitis can cause fever, and generally, it is considered an inflammatory condition. Besides fever, patients may experience abdominal pain, nausea, vomiting, etc. Typically, the abdominal pain manifests as lower right quadrant pain, which is referred pain. If a patient has fever and typical lower right quadrant pain, further investigations like abdominal ultrasound, complete blood count, and CT scans should be carried out. Diagnosing appendicitis is usually not difficult. The treatment of choice for appendicitis is generally surgical intervention, especially for early-stage patients with symptoms lasting less than three days, where an appendectomy is recommended. However, in some elderly patients with conditions like hypertension, diabetes, etc., who are not suitable for surgery, especially if the duration of the illness is more than three days, conservative medical treatment can be chosen. Conservative treatment primarily involves active anti-infection and anti-inflammatory measures and usually takes longer. (Medication should be administered under the guidance of a doctor.)

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Written by Li Jin Quan

General Surgery

38sec

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Does chronic appendicitis cause a high fever?

Chronic appendicitis is just a common gastrointestinal disease. Generally, chronic appendicitis does not involve fever. However, a low-grade fever may occur when the inflammation in some cases of chronic appendicitis is not well-controlled. A small percentage of chronic appendicitis can acutely flare up and lead to a purulent infection, causing purulent appendicitis, which may lead to perforation of the appendix, diffuse peritonitis, septic shock, and high fever. Therefore, it is essential to actively treat chronic appendicitis, and early surgical intervention is recommended.

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Written by Ren Zheng Xin

Gastroenterology

45sec

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Does appendicitis surgery require an incision?

Appendicitis surgery can be performed through traditional open surgery or minimally invasive treatment. Open surgery involves a traditional incision at McBurney's point to remove the appendix, which is now rarely used, predominantly replaced by minimally invasive treatment under laparoscopy. The procedure is the same for both methods, involving ligation of the appendicular artery followed by cutting the appendix at its base and suturing the stump. The advantages of minimally invasive surgery include less intraoperative bleeding, faster postoperative recovery, and less physical trauma. Patients can choose between open surgery or minimally invasive treatment based on their personal circumstances and financial conditions.