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Experience of Treating Acute Appendicitis in Tashkent

Received: 20 January 2020     Accepted: 17 February 2020     Published: 28 February 2020
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Abstract

Modern diagnostics of acute appendicitis in children should include abdominal ultrasound investigation upon admission to a specialized hospital, if necessary, in an ultrasound monitoring mode during clinical dynamic observation of the child. Surgical treatment is indicated only for destructive appendicitis. The method of a surgical treatment choice is laparoscopic surgery including destructive appendicitis complicated by appendicular peritonitis. Surgeries in acute appendicitis make up 75% of all emergency surgical interventions. Annually only in the Republican Research Centre of Emergency Medicine 700 appendectomies in children are made on 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 old - 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. Among 6 256 pediatric patients with acute appendicitis 72 (1.15%) were children younger than 3 years. 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%.

Published in American Journal of Pediatrics (Volume 6, Issue 1)
DOI 10.11648/j.ajp.20200601.22
Page(s) 68-72
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Acute Appendicitis, Appendectomy, Laparoscopy, Surgery, Pediatric Surgery

References
[1] Abushkin I. A. Non-invasive diagnosis of delimited purulent-inflammatory processes of the abdomen in children. In the book: Modern technologies in pediatrics and pediatric surgery. M.: 2012; 340.
[2] Averin V. I. Averin, V. A. Katko, A. A. Svirsky Diagnostic and therapeutic laparoscopy in pediatric surgery. Actual issues of laparoscopy in pediatrics: Materials of the symposium. M.; 2014: 10-1.
[3] Alkhimovich V. N. Syndromic diagnostics in the prevention of errors in acute appendicitis in children. Bulletin of a general practitioner. 2000; 4: 12-8.
[4] Abdullaev V. V., Fedenko G. V., Khodos E. G. et all. Diagnostic errors, complications, unforeseen situations when using traditional laparoscopy and video laparoscopy in emergency surgery. Endoscopic surgery. 2002; 5: 27-33.
[5] Sazhin V. P., Gorbich V. F., Alekseeva O. K. et all. Dynamics of nosocomial infections of the surgical department during the implementation of laparoscopic surgery. Endoscopic surgery. 2016; 5: 20.
[6] Abu-Yousef M. M., Bleacher J. J., Macer J. et al. High resolution sonography of acute appendicitis AJR. 2016; 149: 53-8.
[7] IsakovYu. F., Stepanov E. A. Pediatric surgery on the threshold of the XXI century. Children's surgery. 2001; 4-7.
[8] Bendeck S. E., Nino-Murcia M., Berry G. J. et al. Imaging for suspected appendicitis: negative appendectomy and perforation rates. Radiology. 2012; 225 (1): 131-6.
[9] Bijnen C. L., Van Den Broek W. T., Bijnen A. B. et al Implications of removing a normal appendix. Dig. Surg. 2017; 20 (2): 115-21.
[10] Hayden C. K., Kuchelmeister J., Lipscomb T. S., Sonography of acute appendicitis in childhood: Perforation versus nonperforation. Med. 2017; 11: 209-216.
[11] Helical C. T., Rao P. M., Rhea J. T., Novelline et al. technique for the diagnosis of appendicitis: Prospective evaluation of a focused appendix CT examination. Radiology. 2012; 202: 139-44.
[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.
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    Akilov Khabibullo Ataullayevich, Urmanov Nozim Tursinaliyevich, Primov Farhod Sharifjonovich, Djurayev Jurat Atkhamovich, Yuldashev Tolib Akromovich, et al. (2020). Experience of Treating Acute Appendicitis in Tashkent. American Journal of Pediatrics, 6(1), 68-72. https://doi.org/10.11648/j.ajp.20200601.22

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    ACS Style

    Akilov Khabibullo Ataullayevich; Urmanov Nozim Tursinaliyevich; Primov Farhod Sharifjonovich; Djurayev Jurat Atkhamovich; Yuldashev Tolib Akromovich, et al. Experience of Treating Acute Appendicitis in Tashkent. Am. J. Pediatr. 2020, 6(1), 68-72. doi: 10.11648/j.ajp.20200601.22

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    AMA Style

    Akilov Khabibullo Ataullayevich, Urmanov Nozim Tursinaliyevich, Primov Farhod Sharifjonovich, Djurayev Jurat Atkhamovich, Yuldashev Tolib Akromovich, et al. Experience of Treating Acute Appendicitis in Tashkent. Am J Pediatr. 2020;6(1):68-72. doi: 10.11648/j.ajp.20200601.22

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  • @article{10.11648/j.ajp.20200601.22,
      author = {Akilov Khabibullo Ataullayevich and Urmanov Nozim Tursinaliyevich and Primov Farhod Sharifjonovich and Djurayev Jurat Atkhamovich and Yuldashev Tolib Akromovich and Khidoyatov Komronbek Zaynitdinovich},
      title = {Experience of Treating Acute Appendicitis in Tashkent},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {1},
      pages = {68-72},
      doi = {10.11648/j.ajp.20200601.22},
      url = {https://doi.org/10.11648/j.ajp.20200601.22},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20200601.22},
      abstract = {Modern diagnostics of acute appendicitis in children should include abdominal ultrasound investigation upon admission to a specialized hospital, if necessary, in an ultrasound monitoring mode during clinical dynamic observation of the child. Surgical treatment is indicated only for destructive appendicitis. The method of a surgical treatment choice is laparoscopic surgery including destructive appendicitis complicated by appendicular peritonitis. Surgeries in acute appendicitis make up 75% of all emergency surgical interventions. Annually only in the Republican Research Centre of Emergency Medicine 700 appendectomies in children are made on 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 old - 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. Among 6 256 pediatric patients with acute appendicitis 72 (1.15%) were children younger than 3 years. 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%.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Experience of Treating Acute Appendicitis in Tashkent
    AU  - Akilov Khabibullo Ataullayevich
    AU  - Urmanov Nozim Tursinaliyevich
    AU  - Primov Farhod Sharifjonovich
    AU  - Djurayev Jurat Atkhamovich
    AU  - Yuldashev Tolib Akromovich
    AU  - Khidoyatov Komronbek Zaynitdinovich
    Y1  - 2020/02/28
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajp.20200601.22
    DO  - 10.11648/j.ajp.20200601.22
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
    SP  - 68
    EP  - 72
    PB  - Science Publishing Group
    SN  - 2472-0909
    UR  - https://doi.org/10.11648/j.ajp.20200601.22
    AB  - Modern diagnostics of acute appendicitis in children should include abdominal ultrasound investigation upon admission to a specialized hospital, if necessary, in an ultrasound monitoring mode during clinical dynamic observation of the child. Surgical treatment is indicated only for destructive appendicitis. The method of a surgical treatment choice is laparoscopic surgery including destructive appendicitis complicated by appendicular peritonitis. Surgeries in acute appendicitis make up 75% of all emergency surgical interventions. Annually only in the Republican Research Centre of Emergency Medicine 700 appendectomies in children are made on 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 old - 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. Among 6 256 pediatric patients with acute appendicitis 72 (1.15%) were children younger than 3 years. 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%.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Republican Research Centre of Emergency Medicine of the Health Ministry of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan

  • Republican Research Centre of Emergency Medicine of the Health Ministry of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan

  • Republican Research Centre of Emergency Medicine of the Health Ministry of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan

  • Republican Research Centre of Emergency Medicine of the Health Ministry of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan

  • Republican Research Centre of Emergency Medicine of the Health Ministry of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan

  • Republican Research Centre of Emergency Medicine of the Health Ministry of the Republic of Uzbekistan, Tashkent, Republic of Uzbekistan

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