Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector14510.18821/1560-9510-2019-23-3-157-160CASE REPORTКЛИНИЧЕСКАЯ ПРАКТИКАEXPERIENCE IN TREATING ACUTE APPENDICITIS IN TASHKENTОПЫТ ЛЕЧЕНИЯ ОСТРОГО АППЕНДИЦИТА В ТАШКЕНТЕAkilovKh. A.АкиловХ. А.
Russian Federation
UrmanovN. T.УрмановН. Т.
Russian Federation
PrimovF. Sh.ПримовФ. Ш.
Russian Federation
DjurayevJ. A.ДжураевЖ. А.
Russian Federation
uzmedicine@mail.ruXadjayarovN. R.ХаджаяровН. Р.
Russian Federation
Republican Scientific Center for Emergency Medical Care of Ministry of Healthcare of the Republic of UzbekistanРеспубликанский научный центр экстренной медицинской помощи Министерства здравоохранения Республики Узбекистан05062019233157160050320212019https://jps-nmp.ru/jour/article/view/145

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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