Editing Appendicitis (section)

====Pre-surgery====
The treatment begins by [[Nil per os|keeping the person who will be having surgery from eating or drinking]] for a given period, usually overnight. An [[Intravenous therapy|intravenous drip]] is used to hydrate the person who will be having surgery. [[Antibiotic]]s given intravenously such as [[cefuroxime]] and [[metronidazole]] may be administered early to help kill bacteria and thus reduce the spread of infection in the abdomen and postoperative complications in the abdomen or wound. Equivocal cases may become more difficult to assess with antibiotic treatment and benefit from serial examinations. If the stomach is empty (no food in the past six hours), general anaesthesia is usually used. Otherwise, [[spinal anaesthesia]] may be used.

Once the decision to perform an [[appendectomy]] has been made, the preparation procedure takes approximately one to two hours. Meanwhile, the surgeon will explain the surgery procedure and will present the risks that must be considered when performing an appendectomy. (With all surgeries there are risks that must be evaluated before performing the procedures.) The risks are different depending on the state of the appendix. If the appendix has not ruptured, the complication rate is only about 3% but if the appendix has ruptured, the complication rate rises to almost 59%.<ref>{{cite encyclopedia |url=http://www.surgeryencyclopedia.com/A-Ce/Appendectomy.html |title=Appendicitis |encyclopedia=Encyclopedia of Surgery |access-date=2010-02-01 |url-status=live |archive-url=https://web.archive.org/web/20100209031325/http://www.surgeryencyclopedia.com/A-Ce/Appendectomy.html |archive-date=2010-02-09 }}</ref> The most usual complications that can occur are pneumonia, [[hernia]] of the incision, [[thrombophlebitis]], bleeding and [[adhesion (medicine)|adhesions]]. Evidence indicates that a delay in obtaining surgery after admission results in no measurable difference in outcomes to the person with appendicitis.<ref>{{cite news |url=http://www.cbc.ca/news/technology/emergency-appendix-surgery-can-wait-mds-1.921386 |work=CBC News |title='Emergency' appendix surgery can wait: MDs |date=2010-09-21 |url-status=live |archive-url=https://web.archive.org/web/20160630014355/http://www.cbc.ca/news/technology/emergency-appendix-surgery-can-wait-mds-1.921386 |archive-date=2016-06-30 }}</ref><ref>{{cite journal | vauthors = Ingraham AM, Cohen ME, Bilimoria KY, Ko CY, Hall BL, Russell TR, Nathens AB | title = Effect of delay to operation on outcomes in adults with acute appendicitis | journal = Archives of Surgery | volume = 145 | issue = 9 | pages = 886–892 | date = September 2010 | pmid = 20855760 | doi = 10.1001/archsurg.2010.184 | quote = Delay of appendectomy for acute appendicitis in adults does not appear to adversely affect 30-day outcomes. | doi-access =  }}</ref> Most patients undergo emergency surgery, but delayed surgery (interval appendectomy) has been investigated for certain patients.<ref name=":1">{{Cite journal |last1=Zhou |first1=Shiyi |last2=Cheng |first2=Yao |last3=Cheng |first3=Nansheng |last4=Gong |first4=Jianping |last5=Tu |first5=Bing |date=2024-05-02 |editor-last=Cochrane Colorectal Group |title=Early versus delayed appendicectomy for appendiceal phlegmon or abscess |journal=Cochrane Database of Systematic Reviews |language=en |volume=2024 |issue=5 |pages=CD011670 |doi=10.1002/14651858.CD011670.pub3 |pmc=11064883 |pmid=38695830}}</ref> Delaying surgery for weeks may increase the risk of intra-abdominal abscess in patients suffering from appendicitis and presenting with an appendiceal mass (e.g., [[phlegmon]] or [[abscess]]).<ref name=":1" /> The harms and benefits of delaying surgery for other complications are uncertain.<ref name=":1" /> 
[[File:Scarlapappendix.jpg|thumb|Laparoscopic-assisted transumbilical appendectomy scar on a pediatric patient. Anesthetic result one month after surgery.]]
The surgeon will explain how long the recovery process should take. Abdomen hair is usually removed to avoid complications that may appear regarding the incision.

In most cases, patients going in for surgery experience nausea or vomiting that require medication before surgery. Antibiotics, along with pain medication, may be administered before appendectomies.