Is general anesthesia or local anesthesia better for appendectomy surgery?

Appendicitis is a very disturbing condition for us. It has a great impact on our body, generally causing lower abdominal pain, dizziness, nausea, vomiting, gastrointestinal discomfort, etc. We will treat appendicitis by surgery, and anesthesia is required before the surgery. So is general anesthesia or local anesthesia better for appendicitis surgery?

Should minimally invasive surgery for appendicitis be performed under general anesthesia or partial anesthesia? Suggestions on the safety of minimally invasive surgery for appendicitis: Should minimally invasive surgery for appendicitis be performed under general anesthesia or partial anesthesia? This depends on the arrangement of the clinician. Generally speaking, general anesthesia is required, but if the level of your hospital is high enough, partial anesthesia is also possible. The drug is usually injected through a lumbar puncture. Minimally invasive surgery causes less damage to the body, has small surgical incisions, and allows for quick recovery. But the operation becomes more difficult.

1. Acute appendicitis

(1) Abdominal pain: Typical acute appendicitis causes pain in the upper and middle abdomen or around the umbilicus in the early stages. After a few hours, the pain moves to and becomes fixed in the right lower abdomen. When the inflammation spreads to the serosa and parietal peritoneum, the pain is fixed in the right lower abdomen, and the original pain in the upper abdomen or around the umbilicus is relieved or disappears.

(2) Gastrointestinal symptoms in the early stages may include nausea and vomiting due to reflex gastric spasm. Pelvic appendicitis or gangrenous appendix perforation may cause increased bowel movement frequency. (3) The fever is usually low-grade, without chills, and the temperature of purulent appendicitis generally does not exceed 38°C. High fever is often seen in appendix gangrene, perforation or complicated by peritonitis.

(4) Tenderness and rebound tenderness Abdominal tenderness is a manifestation of inflammatory irritation of the parietal peritoneum. The tenderness point of the appendix is ​​usually located at McBurney's point, which is the junction of the middle and outer 1/3 of the line connecting the right anterior superior iliac spine and the umbilicus.

(5) Abdominal muscle tension: This sign is present when there is appendicitis or suppuration, and is particularly evident when there is gangrene, perforation, and peritonitis.

2. Chronic appendicitis

(1) Abdominal pain: Pain in the right lower abdomen, characterized by intermittent dull pain or bloating, which can be severe or mild at times and is located in a relatively fixed location. Most patients experience abdominal pain after a full meal, exercise, fatigue, cold or long-term standing.

(2) Patients with gastrointestinal reactions often experience varying degrees of indigestion and decreased appetite. Patients with a longer course of illness may experience emaciation and weight loss. There is generally no nausea, vomiting, or abdominal distension, but elderly patients may experience constipation.

(3) Abdominal tenderness Tenderness is the only physical sign, mainly located in the right lower abdomen. It is usually small in range and constant in position, and only occurs when heavy pressure is applied.

Nursing

[Consulting Department]

General Surgery

[Daily Care]

1. For patients with abdominal pain, they should be assisted to adopt a semi-recumbent or sloped position to reduce muscle tension and relieve pain. 2. Closely monitor the patient's vital signs after the operation, measure body temperature, respiration, pulse, and blood pressure every 30 minutes, and observe the patient's complexion and mental state. If any abnormality occurs, report it to the doctor immediately. 3. Pay attention to rest and avoid heavy physical labor within 2 weeks.

[Dietary adjustment]

Fasting is required on the day after surgery. Liquid food can be consumed only after the anus is exhausted, and then gradually transitioned to semi-liquid food and normal food. The diet should be high in calories and low in fat. Eat more fresh vegetables and fruits, drink plenty of water, and keep bowel movements smooth.