Optimisation of medical-diagnostic tactics at sick of an acute appendicitis with application of videoendoscopical technologies

Abstract


Analyzed efficiency of complex diagnostics at 1212 patients who have arrived with suspicion on an acute appendicitis and results of treatment of 1087 patients with an acute appendicitis. Depending on an operative measure kind all patients have been distributed on 3 groups. On the basis of the received results advantages of a new way videolaparoscopic are proved appendectomy and sanation of the abdominal cavity, allowing authentically to lower risk of development of postoperative complications and to improve quality of the medical help

Институт хирургической инфекции Воронежской государственной медицинской академии им. Н.Н.Бурденко, Городская клиническая больница скорой медицинской помощи №10 г. Воронежа

Author for correspondence.
Email: author@vestnik-surgery.com
доктор меди- цинских наук, профессор, заведующий кафедрой общей хирургии, директор Института хирурги- ческой инфекции Воронежской государственной медицинской академии им. Н.Н.Бурденко

Институт хирургической инфекции Воронежской государственной медицинской академии им. Н.Н.Бурденко, Городская клиническая больница скорой медицинской помощи №10 г. Воронежа

Email: author@vestnik-surgery.com
кандидат меди- цинских наук, заведующий Центром амбулаторной хирургии городской клинической больницы ско- рой медицинской помощи №10 города Воронежа

  • Avdovenko A.L., Sazhin V.P., Iurishchev V.A. Khirurgiche-
  • skie aspekty lecheniia abdominal'nogo sepsisa. Mate-
  • rialy Pervogo s"ezda khirurgov Iuzhnogo Federal'nogo
  • okruga. [Surgical aspects of treatment of abdominal sepsis. Part
  • rials of the First Congress of Surgeons of South Federal
  • District.] Rostov-na-Donu 2007; 39.
  • Baraev T.M. Eshche raz o kataral'nom appenditsite.
  • [Once again on the catarrhal appendicitis.]Ka-
  • zanskii meditsinskii zhurnal 2003; 84: 2: 133-134.
  • Borisov A.E., Peshekhonov S.I., Lebin L.A. i dr. Organizacija neotlozhnoj endovideohirurgicheskoj pomoshhi v
  • mnogoprofil'noi bol'nice i ee rezul'taty.
  • [Organization endovideosurgical emergency assistance in a general hospital and its results.] Endosko-
  • picheskaia khirurgiia 2005; 1: 22-23.
  • Grinberg A.A., Mikhailusov S.V., Tronin R.Iu. i dr. Dia-
  • gnostika trudnykh sluchaev ostrogo appenditsita.[Diagnosis of difficult cases of acute appendicitis.]Mo-
  • skva: Triada-Kh 1998;128.
  • Dudanov I.P., Mezhenin A.M., Sharshavitskii G.A. i dr.
  • Spornye voprosy ostrogo prostogo appenditsita i
  • puti snizheniia chastoty neobosnovannykh appendekto-
  • mii.[Controversial issues of acute appendicitis and simple
  • ways to reduce the frequency of unjustified appendectomy.] Vestnik khirurgii 1998; 157: 2: 34-36.
  • Lutsevich E.V., Prazdnikov E.N., Galliamov E.A. i dr. Vi-
  • deolaparoskopiia v diagnostike i lechenii bol'nykh s
  • podozreniem na ostryi appenditsit.
  • [Videolaparoskopiya in the diagnosis and treatment of patients with
  • suspected acute appendicitis.]Materialy VII-
  • ogo Moskovskogo mezhdunarodnogo kongressa po endo-
  • skopicheskoi khirurgii. Moskva 2003; 217-218.
  • Rusanov A.A. Appenditsit. Leningrad: Meditsina 1979;
  • Savel'ev V.S., Gel'fand B.R., Gologorskii V.A. i dr. Ab-
  • dominal'nyi sepsis u khirurgicheskikh bol'nykh: kli-
  • nicheskaia kharakteristika i prognoz.
  • [Abdominal sepsis in surgical patients: clinical characteristics and prognosis] Annaly khirurgii
  • ; 6: 11-18.
  • Blanco J., Blanco J.E., Alonso M.P. et al.
  • Kishechnaja palochka, virulentnye faktory, vyzyvajushhie peritonit, appendicit i drugie
  • vnekishechnye infekcii. [Escherichia coli
  • virulence factors causing peritonitis, appendicitis and other
  • extraintestinal infections.] Enferm-Infecc-Microbiol-Clin
  • ; 107: 3: 393-398.
  • Dunn D.L. Lechenie antibiotikami dlja hirurgicheskogo peritonita
  • redakcionnyj harakter. [Antibiotic treatment for surgical peritonitis
  • editorial.] Ann-Surg 1991; 214: 5: 550-552.
  • Hakkiluoto A., Hannukainen J.
  • Otkrytoe upravlenie s pomoshh'ju
  • vnutribrjushnogo abscessa ili razlitogo peritonita. [Open management with
  • intra-abdominal abscesses or diffuse peritonitis.] Ibid 1992;
  • : 8: 403-405.
  • Paajanen H., Mansikka A., Laato M. et al. Roman v syvorotke krovi
  • markery vospalenija pri ostrom appendicite. [Novel serum
  • inflammatory markers in acute appendicitis.] Scand J Clin.
  • Lab Invest 2002; 62: 8: 579-584.

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