Maslyakov Vladimir Vladimirovich (Doctor of Medical Sciences, Professor, Professor of the Department of Mobilization Preparation of Public Health and Disaster Medicine, Saratov State Medical University named after V.I. Razumovsky, Medical University «Reaviz», Saratov)
Polidanov Maxim Andreevich (research department specialist, assistant of the Department of Biomedical Disciplines, Private University «Reaviz», Saint Petersburg)
Sulaev Egor Vladimirovich (Private University «Reaviz», Saint Petersburg)
Kapralov Sergey Vladimirovich (Doctor of Medicine Sciences, associate professor, Head of the Department of Faculty Surgery and Oncology, Saratov State Medical University named after V.I. Razumovsky, Saratov)
Prokhnitsky Alexey Valerievich (Candidate of Medical Sciences, Associate Professor of the Department of Faculty Surgery and Oncology, Saratov State Medical University named after V.I. Razumovsky, Saratov)
Safronov Dmitry Valentinovich (Candidate of Medical Sciences, Assistant of the Department of Faculty Surgery and Oncology, Saratov State Medical University named after V.I. Razumovsky, Saratov)
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The medical and social significance of the problem of acute appendicitis is due to its high prevalence. Appendicular infiltrate formation complicates the course of acute appendicitis in 3-5% of cases. Purpose of the study. To determine the frequency of appendicular infiltrate in acute appendicitis. Material and methods of the study. The base for the study was the City Clinical Hospital No. 1 in Engels. A continuous retrospective study of 1300 patients admitted to the emergency surgery department with the diagnosis of “acute appendicitis” from 2010 to 2023 was carried out. The average age of the patients was 35 ± 6 years. Diagnosis of the disease was based on the data of anamnesis, clinical examination, laboratory data and ultrasound examination (USG) of the abdominal cavity organs. The χ2 criterion of agreement was chosen for the statistical study. Statistical significance was defined as p < 0.05. Spearman's nonparametric test (r) was used to establish correlations. Results of the study. The analysis revealed that out of 1300 patients admitted to the emergency surgery department with the diagnosis of “acute appendicitis”, appendicular infiltrate was detected in 564 (43.3%) people. The maximum number of cases with appendicular infiltrate, both in the group of men and in the group of women fell within 12 hours from the onset of the disease. As the study shows, loose infiltrate prevailed in our observations - 380 (29.7%) observations. Conclusions. Thus, in the course of the study it was found out that complication of acute appendicitis with the formation of AI occurs in 43.3% of observations. At the same time, friable infiltrate prevails most often, with complications developing in 16.1% of observations. Formation of appendicular abscess with dense infiltrate occurs in 4.6% of cases.
Keywords:abdominal surgery, acute appendicitis, appendectomy, appendicular infiltrate, incidence, medical and social problem
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Citation link:
Maslyakov V. V., Polidanov M. A., Sulaev E. V., Kapralov S. V., Prokhnitsky A. V., Safronov D. V. INCIDENCE OF APPENDICULAR INFILTRATE IN ACUTE APPENDICITIS // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№12. -С. 206-209 DOI 10.37882/2223-2966.2024.12.25 |
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