{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T17:42:06Z","timestamp":1715967726109},"reference-count":11,"publisher":"ALUNA","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>The aim: To search for new and improvement of known methods of diagnosis and surgical treatment of atypical forms of acute appendicitis. \nMaterials and methods: There were analyzed the results of diagnosis and surgical treatment of 852 patients with atypical course of acute appendicitis, which amounted to 25.3% of the total number of patients in this category. Depending on the chosen diagnostic and treatment tactics, patients with acute atypical appendicitis were divided into two groups: control (n=423) and main (n=429). \nResults: It was found that among atypical forms of acute appendicitis retrocecal location of the appendix is 61.2% of cases, pelvic \u2013 24.3%, medial \u2013 11.2%, subhepatic \u2013 3.4%. Destructive forms of atypical acute appendicitis occurred in a total of 92.5% of cases, 77.7% of patients had various types of peritonitis. \nConclusions: Authors improved and tested a number of diagnostic (rectal thermometry, ethanol test) and operative methods for destructive forms of acute appendicitis complicated by typhoid (including laparoscopic). The proposed diagnostic and treatment algorithm allowed to optimize the treatment tactics of this category of patients and reduce the incidence of complications in the early postoperative period from 9.9% to 3.5% (p&lt;0.001).<\/jats:p>","DOI":"10.36740\/wlek202205108","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T15:35:37Z","timestamp":1656344137000},"page":"1095-1099","source":"Crossref","is-referenced-by-count":1,"title":["WAYS TO IMPROVE THE RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ATYPICAL FORMS OF ACUTE APPENDICITIS"],"prefix":"10.36740","volume":"75","author":[{"given":"Ihor V.","family":"Kolosovych","sequence":"first","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ihor V.","family":"Hanol","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrii M.","family":"Tsyhanok","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kateryna O.","family":"Lebedieva","sequence":"additional","affiliation":[{"name":"BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Di Buono G., Maienza E., Buscemi S. et al. Acute appendicitis in a patient with situs viscerum inversus totalis: Role of laparoscopic approach. A case report and brief literature review. Int J Surg Case Rep. 2020;77:S29\u2013 S33. doi: 10.1016\/j.ijscr.2020.10.047.","DOI":"10.1016\/j.ijscr.2020.10.047"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Caruso A.M., Pane A., Garau R. et al. Acute appendicitis in children: not only surgical treatment. J Pediatr Surg. 2017;52(3):444\u2013448. doi: 10.1016\/j.jpedsurg.2016.08.007.","DOI":"10.1016\/j.jpedsurg.2016.08.007"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Podda M., Cillara N., Di Saverio S. et al. ACOI (Italian Society of Hospital Surgeons) Study Group on Acute Appendicitis. Antibiotics-first strategy for uncomplicated acute appendicitis in adults is associated with increased rates of peritonitis at surgery. A systematic review with meta-analysis of randomized controlled trials comparing appendectomy and non-operative management with antibiotics. Surgeon. 2017;15(5):303\u2013314. doi: 10.1016\/j.surge.2017.02.001.","DOI":"10.1016\/j.surge.2017.02.001"},{"key":"ref3","unstructured":"4. St\u00f6\u00df C., Nitsche U., Neumann P.A. et al. Acute Appendicitis: Trends in Surgical Treatment\u2014A Population-Based Study of Over 800 000 Patients. Dtsch Arztebl Int. 2021;118(14):244\u2013249. doi: 10.3238\/ arztebl.m2021.0118."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5. T\u00e9oule P., Laffolie J., Rolle U. et al. Acute Appendicitis in Childhood and Adulthood. Dtsch Arztebl Int. 2020;117(45):764\u2013774. doi: 10.3238\/ arztebl.2020.0764.","DOI":"10.3238\/arztebl.2020.0764"},{"key":"ref5","unstructured":"6. Podda M., Pisanu A., Sartelli M. et al. Diagnosis of acute appendicitis based on clinical scores: is it a myth or reality? Acta Biomed. 2021;92(4):e2021231. doi: 10.23750\/abm.v92i4.11666."},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"7. Fortea-Sanchis C., Escrig-Sos J., Forcadell-Comes E. Diagnostic yield of abdominal ultrasonography for the diagnosis of acute appendicitis: A global and subgroup analysis. Rev Gastroenterol Mex (Engl Ed). 2020;85(1):12-17. doi: 10.1016\/j.rgmx.2018.11.010.","DOI":"10.1016\/j.rgmxen.2018.11.005"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8. Li J. Revisiting delayed appendectomy in patients with acute appendicitis. World J Clin Cases. 2021;9(20):5372\u20135390. doi: 10.12998\/ wjcc.v9.i20.5372.","DOI":"10.12998\/wjcc.v9.i20.5372"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"9. Young K.A., Neuhaus N.M., Fluck M. et al. Outcomes of complicated appendicitis: Is conservative management as smooth as it seems? Am J Surg. 2018;215(4):586\u2013592. doi: 10.1016\/j.amjsurg.2017.10.032.","DOI":"10.1016\/j.amjsurg.2017.10.032"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10. Drake F.T., Mottey N.E., Farrokhi E.T. et al. Time to appendectomy and risk of perforation in acute appendicitis. JAMA Surg. 2014;149(8):837\u2013 844. doi: 10.1001\/jamasurg.2014.77.","DOI":"10.1001\/jamasurg.2014.77"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"11. Liu Y., Cui Z., Zhang R. Laparoscopic Versus Open Appendectomy for Acute Appendicitis in Children. Indian Pediatr. 2017;54(11):938\u2013941. doi: 10.1007\/s13312-017-1186-z.","DOI":"10.1007\/s13312-017-1186-z"}],"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"language":"en","deposited":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T15:35:43Z","timestamp":1656344143000},"score":1,"resource":{"primary":{"URL":"https:\/\/wiadlek.pl\/wp-content\/uploads\/archive\/2022\/05\/WLek202205108.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":11,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022]]},"published-print":{"date-parts":[[2022,5]]}},"URL":"https:\/\/doi.org\/10.36740\/wlek202205108","archive":["Internet Archive"],"relation":{},"ISSN":["0043-5147"],"issn-type":[{"value":"0043-5147","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]}}}