Acute Catarhal Appendicitis — Diagnosis and Treatment

RELEVANCE At present, despite the dynamic progress in urgent abdominal surgery, based on the introduction of advances in medical technology and, as a consequence, the development of non-invasive and minimally invasive diagnostic and treatment technologies, the problem of diagnosis and treatment of the catarrhal form of acute appendicitis (acutis appendicitis forma catarrhalis) remains relevant. THE AIM was to improve the outcomes of endovideolaparoscopic appendectomy by optimizing the differentiation of pathomorphological forms of acute appendicitis based on the results of non-invasive and minimally invasive diagnostic and treatment methods. MATERIAL AND METHODS In the surgical department of the Al-Mozn Medical Complex (Arab Republic of Libya), 182 patients underwent appendectomy using endovideolaparoscopic technology from 2019 to 2024. This work is based on the analysis of 128 patients who underwent appendectomy using endovideolaparoscopic technology; in 54 (29.7%) patients out of 182, the surgical technique had distinctive features that were the subject of further research. 24 patients with different abdominal surgical pathology, surgical correction of which was possible using endovideolaparoscopic access, were examined to assess the non-inflamed appendix (according to ultrasound and endovideolaparoscopy) as a comparison group. RESULTS 22 (17.2%) patients were diagnosed with the catarrhal form (acutis appendicitis forma catarrhalis), 89 (69.5%) with the phlegmonous form (acutus appendicitis forma phlegmonous), and 17 (13.3%) with the gangrenous form (acutus appendicitis forma gangreno). A total of 128 (100%) patients. CONCLUSIONS Inconsistency of symptoms in the group of patients with acute catarrhal appendicitis complicates primary clinical diagnosis. The results of non-invasive diagnostic methods showed that the sensitivity of ultrasound was 87.6%; however, this method of research is ineffective in identifying the catarrhal form. The degree of effectiveness of ultrasound is directly proportional to the destructive changes in the appendix. The diagnostic accuracy of endovideolaparoscopy is 96%. This diagnostic method is effective and preferable in diagnosing the catarrhal form.

Перевод пока недоступен