Содержание
- 2. ACUTE APPENDICITIS Appendicitis is defined as an inflammation of the inner lining of the vermiform appendix
- 3. Anatomy The three taeniae coli converge at the junction of the cecum with the appendix and
- 5. Variations in topographic position of the appendix From its base at the cecum, the appendix may
- 6. Surgical Anatomy - Position
- 7. Incidence The lifetime rate of appendectomy is 12% for men and 25% for women, with approximately
- 8. Etiology Obstruction of the lumen is the dominant etiologic factor in acute appendicitis. – Faecolith /
- 9. Pictorial Explanation obstruction Distention mucus Distention causing Ischemia Gangrene
- 11. Bacteriology Common organisms seen in patients with acute appendicitis
- 12. 1-Abdominal pain is the prime symptom of acute appendicitis. Classically, pain is initially diffusely centered in
- 13. The sequence of symptom appearance has great significance for the differential diagnosis. In >95% of patients
- 14. signs -Temperature elevation is rarely >1°C -Pulse rate is normal or slightly elevated -Tenderness often is
- 15. LABORATORY FINDINGS Mild leukocytosis, ranging from 10,000 to 18,000 cells/mm3, usually is present in patients with
- 16. Imaging Studies In patients with acute appendicitis, one often sees an abnormal bowel gas pattern, which
- 17. Alvarado Scale for the Diagnosis of Appendicitis
- 18. Clinical algorithm for suspected cases of acute appendicitis
- 19. Appendiceal Rupture Immediate appendectomy has long been the recommended treatment for acute appendicitis because of the
- 20. Differential Diagnosis The differential diagnosis of acute appendicitis depends on four major factors: the anatomic location
- 21. Treatment Appendetomy : 1-open appendetomy 2-Laparoscopic appendetomy Once the decision to operate for presumed acute appendicitis
- 22. Open appendetomy For open appendectomy most surgeons use either a McBurney (oblique) or Rocky-Davis (transverse) right
- 23. Laparoscopic appendetomy Laparoscopic appendectomy usually requires the use of three ports. Four ports may occasionally be
- 25. Prognosis The mortality from appendicitis in the United States has steadily decreased from a rate of
- 27. Скачать презентацию