How many days of hospitalization are required for appendicitis surgery?

Written by Ren Zheng Xin

Gastroenterology

Updated on May 09, 2025

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After appendectomy surgery, patients generally need to stay in the hospital for observation for three to five days. If there is no suppuration or infection at the wound, patients can choose to be discharged according to their own wishes. However, if the initial symptoms of appendicitis are severe, or if there is suppuration or perforation, it is advisable to stay in the hospital for additional observation until the abdominal pain subsides before considering discharge. Additionally, elderly individuals or children who are physically weaker should also stay in the hospital for longer observation, as this can aid in recovery.

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Written by Li Jin Quan

General Surgery

1min 5sec

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Diagnosis methods for chronic appendicitis

The diagnostic methods for chronic appendicitis mainly include medical history, clinical symptoms, physical examination, laboratory tests, and auxiliary examinations. Firstly, cases of chronic appendicitis generally have a history of acute appendicitis episodes. Clinically, it is mainly characterized by pain, discomfort, and dull pain in the lower right abdomen, often without a history of migratory lower right abdominal pain. In physical examinations, tenderness can be found in the lower right abdomen, and when chronic appendicitis flares up acutely, signs of peritonitis can manifest as rebound pain in the lower right abdomen. In laboratory tests, an increased white blood cell count can be observed. Auxiliary examinations may reveal thickening of the appendix wall and obstruction in the appendix lumen due to fecaliths. Therefore, chronic appendicitis can be diagnosed through methods such as medical history, clinical symptoms, physical examination, laboratory tests, and auxiliary examinations.

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Written by Ren Zheng Xin

Gastroenterology

45sec

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Does appendicitis surgery require an incision?

Appendicitis surgery can be performed through traditional open surgery or minimally invasive treatment. Open surgery involves a traditional incision at McBurney's point to remove the appendix, which is now rarely used, predominantly replaced by minimally invasive treatment under laparoscopy. The procedure is the same for both methods, involving ligation of the appendicular artery followed by cutting the appendix at its base and suturing the stump. The advantages of minimally invasive surgery include less intraoperative bleeding, faster postoperative recovery, and less physical trauma. Patients can choose between open surgery or minimally invasive treatment based on their personal circumstances and financial conditions.

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Written by Ren Zheng Xin

Gastroenterology

38sec

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What can you eat with appendicitis?

The diet for appendicitis should be based on the needs of the condition, determining what can or cannot be eaten based on the response of the gastrointestinal tract. During the acute inflammatory phase, fasting is necessary, and hydration and electrolytes should be replenished through intravenous fluids. If the inflammation is severe, immediate surgical treatment should be undertaken. For chronic appendicitis, soft and easily digestible foods can be consumed, and proactive anti-inflammatory or surgical treatments should be pursued. Post-surgery, it is important to rest in bed and use anti-infection medications timely to prevent infections.

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Written by Huang Gang

Gastroenterology

1min

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Acute appendicitis clinical features

Acute appendicitis generally presents primarily as abdominal pain, specifically migratory pain to the lower right abdomen. Initially, the patient may experience stomach pain, which gradually shifts to pain in the lower right abdomen. Whether it is appendicitis needs to be diagnosed by a physical examination by a doctor, or an ultrasound of the appendix during the acute phase can be performed. If the appendix appears significantly swollen on the ultrasound, it can also confirm the diagnosis of acute appendicitis. Typically, the best treatment for acute appendicitis is surgery, especially if the condition is very severe and critical, as it may lead to perforation of the appendix and result in purulent peritonitis, which is very serious and life-threatening. Therefore, once diagnosed with acute appendicitis, it is best to be hospitalized for surgery.

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Written by Li Jin Quan

General Surgery

36sec

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Does chronic appendicitis cause nausea?

Under normal circumstances, chronic appendicitis is characterized by recurrent discomfort and pain in the lower right abdomen. In terms of gastrointestinal symptoms, chronic appendicitis usually presents with bloating and indigestion, and rarely manifests symptoms such as nausea and vomiting. However, when chronic appendicitis undergoes an acute attack, it can also present gastrointestinal symptoms such as nausea and vomiting similar to those of acute appendicitis. Therefore, it can be said that chronic appendicitis can manifest gastrointestinal symptoms like nausea.