Causes and treatment of adhesions after appendicitis

Spikes after appendicitis represent a specific area of ​​densified connective tissue that can be localized both in the intestinal tissues and in various nearby organs.

Most often, this pathological change occurs due to some surgical errors during the appendectomy removal operation or due to the patient's non-compliance with prescriptions and doctor's recommendations.

The causes of adhesions

The operation of appendectomy is one of the most common surgical interventions.

Basically, in the absence of problems with appendix, the recovery process after this operation takes only a couple of weeks.

However, often as a result of certain provoking factors in the body begin to form spikes.

Such a process is considered a complication and should not be neglected. As soon as the first symptoms of adhesions are manifested, one should begin treatment.

If it is possible to eliminate the symptoms at the very beginning of the disease, then you can stop the pathological changes in the tissues.

Spikes are formed after surgery, if the body was in an inflammatory process. Thus, the combination of these 2 causes leads to the formation of seals of connective tissue - adhesions.

The most common provoking factors:

• the technique of the operation is broken;
• leaving foreign objects for the body in the wound after surgery;
• circulatory disturbance in tissues for a long time;
• bleeding started during the operation;
• patient's non-compliance with a special diet;
• lack of physical activity after the operation.

Symptoms of the disease

According to statistics, adhesions appear in almost 90% of people after surgery. The formation of seals begins several days after the operation.

Gradually spikes limit the functionality of the intestine, at which time the first symptoms of the disease begin to manifest.

It should be noted that with minor pathological changes, symptoms may be partially or completely absent.

The main symptoms of the appearance of seals:

• pain in the lower abdomen, which can change its nature with changing weather, and also increase with physical exertion.
• decreased appetite;
• weight loss;Heartburn and eructations due to digestive disorders;
• with prolonged development of the disease is possible constipation;
• in women may have problems with conception.

The process of formation of adhesions can cause the development of intestinal obstruction, which disrupts the secretion of intestinal gases and feces.

If there is an obstruction, pains increase significantly, symptoms of intoxication of the body manifest, body temperature increases, sometimes the symptoms include severe vomiting with fecal matter.

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This complication can often be determined by a strong bloating, with palpation of which the pain intensifies.

Enough often in women, inflammation spreads to the appendages, which leads to an obstacle to conception.

Therefore, if for a long time a woman can not become pregnant without obvious reasons, and recently performed operations in the GI tract, then it is worthwhile to conduct a test for the presence of adhesions that could disrupt the patency in the fallopian tubes.

Treatment of intestinal obstruction is mainly performed by surgery, since it is important to intervene in the shortest possible time.

Symptoms of aggravation of adhesions include acute pain, constipation, and some signs of intestinal obstruction.

Treatment of the disease

The doctor selects the treatment of the adhesions, depending on the stage of pathological changes.

If the lesions are minor, the treatment most often consists of such procedures:

1. medication: the use of folic acid, vitamin E, the preparation of Aloe in the form of ampoules. Remember that you can prescribe medicines and determine the dose only by a doctor, self-medication can worsen your health;
2. treatment with the use of physiotherapy: magnesium, zinc or novocain electrophoresis, paraffin applications on the abdomen. Such procedures are especially effective at the initial stage of the disease.

If treatment with the above mentioned drugs did not help to eliminate unpleasant symptoms, an operation to remove adhesions is performed.

Surgical intervention can be performed using an electron-knife laser or traditional methods.

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In no case can not neglect the treatment of adhesions, because this disease will not pass by itself, and with prolonged development can lead to serious disorders of metabolism and digestive processes. The most severe complications are necrosis of the intestine and intestinal obstruction.

At the first suspicion of spikes, the doctor should be informed about this so that he or she can perform the necessary tests for diagnosis.

Remember that the sooner you start treating the disease, the faster you can get rid of it and stop the inflammatory processes.

Preventive measures

To avoid adhesion after removal of appendicitis, some preventative measures should be taken, and, most importantly, strictly follow all the doctor's recommendations.

Preventative measures:

1. after a few hours after the operation, you can lie in bed, perform some movements to avoid hypodynamia. On the second day you can walk around the ward for a short time;
2. is proven that it is possible to avoid the appearance of adhesions by performing an endoscopic procedure. This allows you to eliminate the risk of infection and minimize the effect on internal tissues. Thus, the suture after the operation heals much more quickly and adhesions do not appear;
3. for the prevention of the main course of treatment add an auxiliary, consisting of drugs such as fibrinolysin, streptokinase and trypsin. Such agents dissolve the substance that forms in the area of ​​adhesions, fibrin. Also, doctors often prescribe antibiotics and drugs that help to relieve inflammation.

Prophylaxis of adhesions and any complications after removal of appendicitis necessarily includes compliance with a certain diet.

In the first week after surgery, chicken broth and steamed or boiled dishes are best.

The diet can contain porridges on the water, various casseroles and omelets with vegetables. Take care that food and food do not contain a lot of salt, sugar and do not increase acidity.

Do not use these products:

• fatty fermented milk products: kefir, cream, cottage cheese with a high percentage of fat content;
• boiling soups on fatty meat - it is better to replace them with light chicken or vegetable broths;
• beans in any form;
• any spicy or too salty foods;
• smoked or pickled products;
• baking;
• is a fatty or fatty meat, because it strongly irritates the digestive tract;
• any sauces in ready form;
• vegetables such as peppers and tomatoes.

Honey, dried fruits and other products with a lot of sugar or fiber should also be used with caution, it is better to eliminate them altogether from the diet.

Similar restrictions must be observed during the first month after the operation.

This will avoid the occurrence of adhesions and other complications, and also normalizes the work of the gastrointestinal tract.