Modern aspects of reduction of mortality in acute appendicitis in children under three years of age
Sitkovskiĭ, N.B.; Grishin, A.A.; Plotnikov, A.N.
Klinicheskaia khirurgiia 1991(6): 4-7
1991
ISSN/ISBN: 0023-2130 PMID: 1942800 Document Number: 371090
The experience with treatment of 216 young children with acute appendicitis is summarized. All the patients were operated on after the complex preoperative preparation. Median laparotomy was performed in 17 patients, 199 were operated on with local approach. Sanation of the abdominal cavity, intestinal decompression were performed. At the postoperative period, the correction of metabolic disorders, hemosorption, lymphosorption, endolymphatic antibiotic therapy, intravascular laser and ultra-violet irradiation of the blood were performed. One patient, who was admitted 10 days after the onset of the disease died. There are the following reserves for reduction of lethality: timely taking medical advice, early diagnosis of the disease, effective preoperative preparation, adequate operative intervention and postoperative management of a patient, timely detection and elimination of complications.