Modern Aspects of the Treatment of Acute Appendicitis

Abstract


The problem of surgical treatment of acute appendicitis and today retains its relevance, because of the high morbidity in the population. According to the statistical data, acute appendicitis diagnosed in 1.5% of the population. Among patients in surgical hospitals, up to 50% of patients with suspected acute appendicitis. The percentage of diagnostic errors is very high and often exceeds 25%, and rates of postoperative complications traditional operation in complicated appendicitis reach 30%, and mortality according to the literature - 1% . Today, almost everywhere the method of choice in the diagnosis and treatment of acute abdominal diseases is a diagnostic laparoscopy. Laparoscopic access ensures accurate diagnosis, the ability to a full audit of the abdominal cavity, as well as minimal traumatism of operations; allows to avoid unnecessary appendectomies, reduce the number of postoperative complications and the need for analgesia, reduce the time of stay of patients in hospital, and thereby reduce the cost of treatment. Nevertheless, despite the enormous experience accumulated in this field is still many unsolved methodological issues, such as the «threshold of conversion» in complicated forms of appendicitis, methods of processing of the stump of червеобразного process, etc. No, just a single opinion in respect of the indications and contraindications for laparoscopic appendectomy. The paper presents the evaluation of the advantages and disadvantages of different methods of appendectomy, statistics of various complications depending on the choice of specific methods and ways of their overcoming. Discusses different techniques of processing of the stump and the mesenteric an Appendix.

Moscow State University named after M.V. Lomonosov, Moscow, Russian Federation;
Institute of Surgery by A.V. Vishnevskiy, Moscow, Russian Federation

Author for correspondence.
Email: author@vestnik-surgery.com
MD, Professor of the Department of surgery of the faculty of fundamental medicine of Moscow state University named M.V. Lomonosov

Moscow State University named after M.V. Lomonosov, Moscow, Russian Federation;
Institute of Surgery by A.V. Vishnevskiy, Moscow, Russian Federation

Email: author@vestnik-surgery.com
MD, Professor of the Department of surgery of the faculty of fundamental medicine of Moscow state University named M.V. Lomonosov

Moscow State University named after M.V. Lomonosov, Moscow, Russian Federation;
Institute of Surgery by A.V. Vishnevskiy, Moscow, Russian Federation

Email: author@vestnik-surgery.com
Ph.D., associate Professor of the Department of surgery of the faculty of fundamental medicine of Moscow state University named M.V. Lomonosov.

Moscow State University named after M.V. Lomonosov, Moscow, Russian Federation;
Institute of Surgery by A.V. Vishnevskiy, Moscow, Russian Federation

Email: author@vestnik-surgery.com
a clinical Intern of the Institute of surgery named A.V. Vishnevsky

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