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Treatment of Appendicitis

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Appendectomy
 from  2195
General therapeutic rehabilitation
 from  565.57

Academic Hospital Brothers of Mercy Munich

10/10
location_onGermany, Munich

Department of General and Abdominal Surgery

According to the Focus magazine, the Academic Hospital Brothers of Mercy Munich ranks among the top German hospitals in the Federal State of Bavaria! The hospital is a modern medical facility with the highest level of medical care and long traditions. The hospital operates on the basis of the Technical University of Munich and t

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of General, Abdominal and Vascular Surgery

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of General and Abdominal Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Abdominal, Thoracic and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of General and Abdominal Surgery

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about

University Hospital RWTH Aachen

9.2/10
location_onGermany, Aachen

Department of Adult and Pediatric General, Abdominal, Transplant Surgery

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Abdominal, Thoracic and Vascular Surgery

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of General, Abdominal and Vascular Surgery

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of General, Abdominal, Vascular and Endocrine Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of General, Abdominal and Thoracic Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of General, Abdominal, Transplant, Vascular and Pediatric Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of General, Abdominal, Adult and Pediatric Transplant Surgery

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Surgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General, Abdominal and Transplant Surgery

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
| from Booking Health GmbH

Acute appendicitis is an inflammation of the appendix of the rectum. This is one of the most common surgical conditions. About 10% of the population in Europe develops the pathology during life. Appendicitis is most often diagnosed in patients aged 10-30 years. The treatment for most patients is a surgical intervention. Less commonly, conservative antibiotic therapy or appendicular abscess puncture under computed tomography guidance is performed.

Content

  1. Diagnostics of appendicitis
  2. Conservative therapy
  3. CT-guided puncture
  4. Surgical treatment
  5. How is the surgery performed
  6. Where to undergo treatment

Diagnostics of appendicitis 

 

Timely diagnostics is very important for appendicitis. This disease must be treated as early as possible. Otherwise, this condition can cause serious complications that require more traumatic surgical interventions and prolonged treatment.

The main patient complaints are as follows: 

  • Abdominal pain, which firstly has an unspecified site, and then manifests itself in the lower abdomen on the right.   
  • Loss of appetite. 
  • Nausea. 
  • Single vomiting at the onset of the disease. 

The main task of the doctor is not to miss appendicitis. Therefore, the patient must be examined within 1 hour after admission to the hospital. To exclude appendicitis, AIR or AAS scales are used.

The main method of instrumental diagnostics is ultrasound scanning. In case of questionable results and persisting suspicion of appendicitis, computed tomography is performed. Pregnant women undergo MRI instead of CT scanning. However, it is less informative, since this diagnostic test does not always allow distinguishing a simple appendicitis from a complicated one.

Conservative therapy 

 

With appendicular infiltrate detected, the treatment tactics may be conservative. Nonetheless, there are two exceptions:

  • The presence of a fecal stone in the lumen of the appendix.
  • The development of appendicitis in a pregnant woman. 

The patient is prescribed two antibiotics, and the infiltrate gradually resolves. 

CT-guided puncture

 

With the presence of an appendicular abscess (cavity with pus) without signs of peritonitis (inflammation of the peritoneum), puncture is performed instead of surgery. The doctor inserts a thick needle into the abscess to remove the inflammatory fluid from the abscess. To avoid damage to the adjacent organs, doctors abroad carry out the procedure under computed tomography guidance. Sometimes ultrasound can be used to visually control the procedure.

Surgical treatment 

 

Appendectomy (removal of appendicitis) is considered the standard treatment for the disease. The surgeon can perform it using one of two techniques:

  • Open surgery. 
  • Laparoscopic appendectomy (laparoscopy of appendicitis). 

Whenever possible, the surgery is performed within the shortest possible time. With uncomplicated appendicitis, it is performed within a day, but with a complicated form of the disease, the surgery must be carried out immediately.

If the patient is admitted in a serious condition, doctors conduct a preparation for the surgery using medication. It helps reduce the risk of complications. 2 or more hours prior to surgery, doctors prescribe antibiotics. If necessary, infusion therapy, as well as correction of fluid and electrolyte disturbances are provided.

Some patients require prevention of thromboembolic complications before surgery. The drugs are administered with the presence of risk factors such as obesity, age over 50, varicose veins of the lower extremities, taking oral contraceptives, severe heart disease or cancer.

How is the surgery performed

 

The surgery to remove appendicitis abroad is mainly performed using the laparoscopic technique. The doctor makes short incisions in the abdomen and inserts a video camera with lighting and thin long instruments into the abdominal cavity. The advantages of this approach are as follows:

  • Less trauma. 
  • Less pain. 
  • Lower risk of complications.
  • Shorter hospitalization period.
  • Better aesthetic result. 
  • Quick return to work. 

Laparoscopic appendectomy is especially recommended for patients with obesity, concomitant diseases and the elderly, as they have a higher risk of complications in the case of open surgery.

Whichever way the surgery is performed, its essence consists in removing the inflamed vermiform appendix. Doctors abroad use an ultrasonic scalpel to transect the mesentery. In this case, the least thermal tissue damage is achieved. Sometimes other options can also be used. These may be clipping, endoloop, bipolar coagulation, LigaSure transection.

With a severe course of the disease or untimely treatment for appendicitis, perforation (through hole) of the appendix may occur. In this case, pus enters the surrounding tissues and their inflammation develops.

In case of perforation of the appendix, revealed during the surgical intervention, the doctor leaves the drains – thin tubes through which fluid flows. To reduce the risk of complications, postoperative antibiotic therapy is carried out.

Where to undergo treatment 

 

If you suffer from acute appendicitis, you can go abroad. The Booking Health specialists will find the most suitable hospital for you. We will arrange your urgent treatment and emergency surgery in one of the developed countries.

There are several reasons for you to undergo appendicitis treatment in Europe:

  • In some patients, appendicitis can be treated without surgery: with the help of antibiotics or appendicular abscess puncture.
  • The vast majority of operations are performed using laparoscopic access. Minimally invasive interventions allow patients to quickly recover and reduce the length of hospital stay.
  • There is no over-treatment, because doctors do not use antibiotics after surgery for uncomplicated appendicitis.
  • Accurate diagnostics: there is no risk of having your appendix removed if you do not actually have appendicitis.
  • Sparing treatment of complicated appendicitis – even if peritonitis develops, doctors do not flush the abdominal cavity with saline, as research has shown that this procedure does not improve treatment outcomes, but increases the risk of complications.
  • Doctors do not switch from laparoscopic surgery to open surgery, even if they find signs of peritonitis. As a result, the treatment remains minimally traumatic and safe for health.
  • Foreign specialists successfully treat even the most severe cases of appendicitis complicated by widespread peritonitis, intestinal paresis, and septic shock.

Please leave your request on the Booking Health website. Our specialist will contact you within just a few hours. If you book a medical care program through our service, the cost of treatment will be lower due to the lack of additional coefficients for foreign patients. You can compare prices in different hospitals in order to book your treatment at the best price.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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