[The differential approach to appendectomy after the appendicular infiltrate].

84 patients with the acute appendicitis, complicated by the appendicular infiltrate were divided in 2 grpups: the first group consisted of 49 (58,3%) patients with periappendicular abscess; the second group included 35 (41,7%) patients, treated conservatively and were recommended the delayed appendectomy. Of all 84 patients, included in the study, the delayed appendectomy could had been performed in 51 (61%) cases, though only 27 (53%) of patients had the procedure. The thorough analysis of the clinical presentation and pathomorphological data of 51 patients with the clinical presentation of the arrested appendicular infiltrate demonstrated, that only 14 (28%) of them had indications to the the delayed appendectomy. The pathogenetic feedback between the appendicolitis and appendicitis recurrence possibility was established. The necessity of differential approach to the delayed appendectomy in patients with appendicular infiltrate was determined. The safety and efficacy of the laparoscopic appendectomy by the disease was demonstrated.