Editing 2508: Circumappendiceal Somectomy

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==Explanation==
 
==Explanation==
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{{incomplete|Created by a BODY REMOVED FROM AROUND THE APPENDIX OF A BOOK - Do NOT delete this tag too soon.}}
  
 
In normal medicine, {{w|appendectomy}} is the surgical removal of an {{w|appendix (anatomy)|appendix}}. The purpose of the appendix is not fully understood, believed to be a reservoir for a human's gut microbiome. However if an appendix is swelling, it comes with risk of bursting and causing massive damage through internal bleeding and septic bacterial infection. In such cases the appendix may be partially removed through surgery.
 
In normal medicine, {{w|appendectomy}} is the surgical removal of an {{w|appendix (anatomy)|appendix}}. The purpose of the appendix is not fully understood, believed to be a reservoir for a human's gut microbiome. However if an appendix is swelling, it comes with risk of bursting and causing massive damage through internal bleeding and septic bacterial infection. In such cases the appendix may be partially removed through surgery.
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The joke is that such a procedure is functionally identical to a typical appendectomy, the removal of the appendix from the body - just viewed from a different perspective. It humorously implies that the entire body of the patient is the problematic part to be removed, leaving the appendix behind.  It should be noted, though, that the procedure is identical only if it's done without disrupting the integrity of the body. There are situations in which an essential part is removed from a damaged or unimportant system by dismantling the system, piece by piece, leaving the part behind.  Obviously, this would not be an advisable method for treating {{w|appendicitis}}. {{Citation needed}}
 
The joke is that such a procedure is functionally identical to a typical appendectomy, the removal of the appendix from the body - just viewed from a different perspective. It humorously implies that the entire body of the patient is the problematic part to be removed, leaving the appendix behind.  It should be noted, though, that the procedure is identical only if it's done without disrupting the integrity of the body. There are situations in which an essential part is removed from a damaged or unimportant system by dismantling the system, piece by piece, leaving the part behind.  Obviously, this would not be an advisable method for treating {{w|appendicitis}}. {{Citation needed}}
  
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The title text provides personal insight into the comic. It appears [[Randall]] has gotten appendicitis before, which may have been the inspiration of [[2147: Appendicitis]] and was treated using antibiotics instead of surgery. However, his appendix became inflamed again, and this time it was removed. Randall's experience is not uncommon, as a [https://pubmed.ncbi.nlm.nih.gov/32074268/ 2020 study] found that nearly 40% of patients treated with antibiotics for appendicitis required an appendectomy for recurrent appendicitis within 7 years. However, this should be the final time, as it is unlikely to get appendicitis without an appendix.{{Citation needed}} However, he does not rule out the possibility that something "extremely unexpected" happened during the surgery which could cause him to suffer from appendicitis again. Possible candidates for such an extremely unexpected event could include the surgeon faking the removal of Randall's appendix and leaving it intact, or removing only part of it, removing Randall's appendix but transplanting someone else's appendix into him instead, or even the appendix's [https://en.wikipedia.org/wiki/Regeneration_(biology) spontaneous regeneration].  While most of these possibilities are absurd, stump appendicitis, in which appendicitis occurs in remnant of the appendix that remains after surgery really does occur in 1 in 50,000 cases according to the article [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079652/ Appendicitis after appendicectomy - NCBI].
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The title text provides personal insight into the comic. It appears [[Randall]] has gotten appendicitis before, which may have been the inspiration of [[2147: Appendicitis]] and was treated using antibiotics instead of surgery. However, his appendix became inflamed again, and this time it was removed. Randall's experience is not uncommon, as a [https://pubmed.ncbi.nlm.nih.gov/32074268/ 2020 study] found that nearly 40% of patients treated with antibiotics for appendicitis required an appendectomy for recurrent appendicitis within 7 years. As well, this should be the final time, as it is unlikely to get appendicitis without an appendix.{{Citation needed}} However, he does not rule out the possibility that something "extremely unexpected" happened during the surgery which could cause him to suffer from appendicitis again. Possible candidates for such an extremely unexpected event could include the surgeon faking the removal of Randall's appendix and leaving it intact, or removing only part of it, removing Randall's appendix but transplanting someone else's appendix into him instead, or even the appendix's [https://en.wikipedia.org/wiki/Regeneration_(biology) spontaneous regeneration].  While most of these possibilities are absurd, stump appendicitis, in which appendicitis occurs in remnant of the appendix that remains after surgery really does occur in 1 in 50,000 cases according to the article [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079652/ Appendicitis after appendicectomy - NCBI].
  
 
==Transcript==
 
==Transcript==

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