Medical and epidemiological features of acute appendicitis in the Arkhangelsk region

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BACKGROUND: Acute appendicitis is the most common inflammatory disease of the abdominal cavity which requires emergency surgery. Currently, we still face the problem of both late diagnostics and overdiagnostics of appendicitis.

AIM: To analyze basic reasons for late diagnostics of the disease and for unnecessary appendectomies in children in Arkhangelsk region.

METHODS: We have analyzed the frequency of appendectomies and forms of the disease in children in various hospitals in Arkhangelsk region in 2016–2021. Two groups of patients were compared: with destructive appendicitis and with non-destructive appendicitis (NDA). The following parameters were assessed: sex, age, appendectomy justification and surgical technique.

RESULTS: Appendectomies in NDA cases were more often performed in girls aged 10–15 (р=0.002). Open surgeries in NDA patients were performed much more often than laparoscopic ones (р <0.001). The longer total time from the disease onset and diagnostics till surgery in the hospital, the larger is the risk of complicated appendicitis (р <0.001)

CONCLUSION: Open surgical approach increases the chance of appendectomy in NDA cases. Open appendectomies in NDA cases are more often registered in adolescent girls. The increased time from the disease onset till surgery increases the risk of complicated appendicitis.

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作者简介

Maria Yanitskaya

Northern State Medical University; Arkhangelsk Regional Children Clinical Hospital named after P.G. Vyzhletsov

Email: medmaria@mail.ru
ORCID iD: 0000-0002-2971-1928
SPIN 代码: 4185-7287

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, 51 Troitsky avenue, 163000 Arkhangelsk; Arkhangelsk

Olga Kharkova

Northern State Medical University

Email: harkovaolga@yandex.ru
ORCID iD: 0000-0002-3130-2920
SPIN 代码: 2167-7550

Cand. Sci. (Psychology)

俄罗斯联邦, 51 Troitsky avenue, 163000 Arkhangelsk

Nikita Shiltsev

Northern State Medical University; Arkhangelsk Regional Children Clinical Hospital named after P.G. Vyzhletsov

编辑信件的主要联系方式.
Email: nikita.shiltzev@yandex.ru
ORCID iD: 0009-0006-7153-0297

MD

俄罗斯联邦, 51 Troitsky avenue, 163000 Arkhangelsk; Arkhangelsk

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