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Детская хирургия. Журнал им. Ю.Ф. Исакова. 2019; 23: 157-160

ОПЫТ ЛЕЧЕНИЯ ОСТРОГО АППЕНДИЦИТА В ТАШКЕНТЕ

Акилов Х. А., Урманов Н. Т., Примов Ф. Ш., Джураев Ж. А., Хаджаяров Н. Р.

https://doi.org/10.18821/1560-9510-2019-23-3-157-160

Аннотация

Список литературы

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Russian Journal of Pediatric Surgery. 2019; 23: 157-160

EXPERIENCE IN TREATING ACUTE APPENDICITIS IN TASHKENT

Akilov Kh. A., Urmanov N. T., Primov F. Sh., Djurayev J. A., Xadjayarov N. R.

https://doi.org/10.18821/1560-9510-2019-23-3-157-160

Abstract

75% of all emergency surgeries are surgeries for acute appendicitis. Annually, only in the Republican Scientific Center 700 appendectomies in children are made, in average. The article summarizes data obtained in the retrospective analysis of case histories of 6 256 patients with acute appendicitis and its complications who were hospitalized in the pediatric department of emergency surgery for 12 years. The following incidence of acute appendicitis in children is reported: from 1 to 3 years of age - 0.6 per 1 000; from 4 to 7-1.4-2.6 per 1 000; 13 years of age - 8 per 1 000. The authors discuss specific features in the clinical picture of acute appendicitis in children depending on patient’s age and anatomical location of the appendix. The clinical picture in children of older age and of the first three years of life is discussed separately. Out of 6 256 pediatric patients with acute appendicitis 72 (1.15%) were children younger than 3. The authors have substantiated a complex of diagnostic and therapeutic manipulations as well as tactic options to the treatment of this category of patients. Widespread implementation of the laparoscopic technique into surgical practice has significantly changed the tactics of treatment. The number of surgeries for simple appendicitis in children has decreased up to 3.9-7%.
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12. Holcomb G.W. Laparoscopic appendectomy in children. Lap. Surg. (Decker). 1993; 1(3): 145-53.

13. Horrow M.M. White D.S., Horrow J.C. Differentiation of perforated from nonperforated appendicitis at. Radiology. 2013; 227(1): 46-51.