Enema Before Appendectomy And Other Questions

Hello,

i am from romania, a poor country in eastern europe with a rather inefficient health care system.
Several days ago, my girlfriend had an appendectomy. She had had some abdominal pain for the last six months in the right side of her belly.
As there are no diagnosis tools such as a ct scan or ultrasound in romania, the surgeon used the following method to diagnose: "does in hurt here?" "no" "here?" "no". "here?" "yes!" "then it's appendicitis", he said.
The blood analysis performed before the surgery revealed only a level of fibrinogen of 615 mg/dl instead of the normal values of 200-400 and a deficit of calcium (3,72 instead of 4).
Before the appendectomy she had to have an enema inside the hospital. I googled on the use of such preoperative procedure, but I found only two links, one recommending it for children, during the last day before the appendectomy, and the other saying it's dangerous when acute appendicitis is suspected.
Then, as my girlfriend was terrified for various reasons by the idea of a regional anaesthesia (spinal anaesthesia), she told the anaesthetist she wanted a general anaesthesia. The anaesthesist said "fine, we'll make a spinal anaesthesia, which is a general anaesthesia". That was outrageous. However, after some talks with the anaesthetist, she had a general anaesthesia.
Finally, after the surgery, the surgeon told my girlfriend's parents that the appendix was small (half the length of a finger) and a little swollen.
So, I would really be happy if you guys could answer me the following:
- is an enema usual before an appendectomy?
- is there a possibility for a wrong diagnosis and the appendix was healthy?
The problem is that doctors in romania are not trustworthy and I do not know where to turn for reliable information and counselling.
Thank you very much!