**Question:** During appendectomy if it is noticed that base of appendix is inflamed then further line of treatment is:

**Core Concept:** Appendectomy is a surgical procedure to remove the appendix, which may be necessary due to appendicitis, a condition characterized by inflammation of the appendix. In this scenario, the focus is on the management of inflamed appendix during surgery.

**Why the Correct Answer is Right:**

*Option C: "Excision of the inflamed base of the appendix" is the correct answer because when the base of the inflamed appendix is excised, it helps prevent the spread of infection and reduces the risk of complications such as abscess formation or peritonitis.

*Option D: "Resecting the entire appendix" is partially correct as the inflamed appendix should be resected to alleviate the inflammation and prevent complications.

*Option A: "Drainage of the inflamed appendix" is not a suitable treatment as it would not effectively address the inflammation and could potentially lead to further complications.

*Option B: "Excision of the entire inflamed appended" is incorrect due to the explanation above and does not align with the goal of preventing complications from the inflamed base of the appendix.

**Why Each Wrong Option is Incorrect:**

*Option A: Drainage of the inflamed appendix doesn't address the infection source and could lead to complications.
*Option B: Excision of the entire inflamed appendix is incorrect as it does not prevent complications arising from the inflamed base.
*Option D: Resecting the entire appendix is partially correct but still not specific enough to address the issue of inflamed base.
*Option E: Excision of the entire inflamed appendicitis is incorrect as it does not prevent complications arising from the inflamed base.

**Clinical Pearls:**

The correct approach in this scenario is to excise the inflamed base of the appendix to ensure proper management of the inflammation and prevent complications such as abscess formation or peritonitis. This procedure is known as "appendicectomy" or "appendectomy", which involves removing the entire appendix, including the inflamed base.

In appendicitis, removing the entire appendix is necessary to prevent the spread of infection and provide a definitive cure. However, when the focus is on the inflamed base, the treatment becomes "appendicectomy". This surgical intervention is crucial to address the source of infection and prevent complications.

It is crucial for surgeons to identify the inflamed base during surgery to ensure the most effective treatment and minimize the risk of complications.