Klinichna khirurhiia · 2016
[PECULIARITIES OF DIAGNOSIS AND SURGICAL TREATMENT OF PATIENTS, SUFFERING ATYPICAL FORMS OF AN ACUTE APPENDICITIS].
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Kolosovych I V, Bezrodnyi B G, Chykolovets K O, Kolosovych A I
Аннотация
Results of diagnosis and surgical treatment of 852 patients, suffering an acute appendicitis (AA) with atypical course, were analyzed. Retrocecal localization of appendix was noted in 61.2% of observations, a pelvic one — in 24.3%, medial — in 11.2%, and subhepatic — in 3.4%. Destructive forms of atypical AA were diagnosed in 92.5% patients, and various kinds of peritonitis — in 77.7%. Some diagnostic (rectal thermometry, test with ethanol) and operative methods (including laparoscopic) in destructive forms of AA, complicated by typhlitis, were improved and tested. Diagnostic—treatment algorithm, permitting to optimize tactic of treatment and to reduce the early postoperative complications rate from 9.9 tо 3.5% (р<0.001), was proposed.