- What are adhesions after surgery appendicitis
- Symptoms of adhesions after appendectomy
- Treatment adhesions after appendectomy
Modern medicine is quite often faced with the problem of appendicitis. This operation is considered the most common surgical intervention on organs of abdominal cavity. Appendicitis is quite common in adults and in children. After such an operation may be complications. For example, adhesions.
What are adhesions after surgery appendicitis
Spikes is a film, which are formed between the internal organs. They appear due to irritation of the sheath that covers the internal organs. As a rule, adhesions affect the interaction of bodies, after which their work is difficult. For men, the spikes do not pose a serious risk, but women may be diagnosed with infertility, which, unfortunately, is not always amenable to treatment.
Symptoms of adhesions after appendectomy
This files most often have adhesions after appendectomy. The symptoms are the following
- pain it can a long time absent. As a rule it is localized in the region of postoperative scar. Most often it is pulling in nature and may worsen after physical exertion
- dyspeptic syndrome of disturbed digestion due to improper functioning of the intestines
- violation of the bowel appear constipation is no more than a day
- the complete absence of a chair for more than two days.
Possible complications of adhesions
Adhesions after appendicitis can lead to serious complications.
For example, you may develop acute intestinal obstruction. It occurs due to kinked intestine, which in turn prevents the passage of food in the intestines. In addition, possible necrosis of the bowel. Because of the violation of its blood supply that is triggered by perezhitoe spikes artery, the wall of the intestine die. This condition requires immediate removal of this section of the colon.
Diagnosis of the disease
In the case of the onset of symptoms of adhesions in the abdominal cavity and the presence of operative intervention in appendicitis, it is necessary to conduct diagnosis.
The first requires a clinical blood test that will indicate the presence of inflammation in the body. It is also necessary to conduct the ultrasound examination of abdominal cavity organs.
Through ultrasound we can visualize the presence of adhesions.
This survey must be held after adequate bowel preparation.
In addition, an x-ray contrast agent. The patient on an empty stomach should drink a barium mixture. The presence of filling defects of the bowel will be clear picture of the disease. Equally important diagnostic laparoscopy. For this purpose in the peritoneal cavity, we introduce a special fiber-optic tube. It is equipped with lighting and camera. Using this diagnostic method, we study the condition of the intestinal loops and determines the presence of adhesions.
Treatment adhesions after appendectomy
Adhesions after appendicitis is a fairly common complication after surgery.
Treatment of adhesions is by surgical dissection and release of the pinched loops of the intestine.
Before surgery be sure to observe the fractional consumption of food in small portions. Also is enema. If there is intoxication, intravenously administered fluids that eliminate toxins from the body. In the event of acute abdominal pain used painkillers.
Surgical treatment of adhesions after appendectomy possible by laparoscopy or laparotomy. The choice of treatment depends on the patient’s age, comorbidities, number of adhesions, and presence of complications of adhesions of the bowel.