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Surgical treatment of appendicular peritonitis in children

https://doi.org/10.25789/YMJ.2018.62.34

Abstract

The literature review is based on the analysis of sources covering the relevance, etiology, pathogenesis, classification, and modern methods of surgical treatment of appendicular peritonitis in children. The issues for further study of this problem are considered.

In pediatric surgery at the moment there is no single point of view in the treatment of common forms of appendicular peritonitis in children. One of the reasons is the absence of a single criterion for assessing the severity of peritonitis. Each surgeon has his own opinion and measure of evaluation. We believe that assessing the severity of the peritonitis course with scoring and its use in the choice and extent of surgical intervention will reduce the postoperative complication, reduce the number of unreasonable conversions, and, if necessary, give indications for laparotomy and laparostomy. Determination of criteria for assessing the severity of peritonitis is an effective method in the choice of operational tactics for treating peritonitis, which allows to minimize the subjectivism of the surgeon, optimizes the approach to therapeutic tactics in appendicular peritonitis in children.

About the Authors

A. A. Sleptsov
Republican Hospital №1, National Centre of Medicine
Russian Federation

Sleptsov Alexander Alexandrovich, Head of Purulent Surgery Department of the Pediatric Center

Yakutsk



V. A. Savvina
Medical Institute, North-Eastern Federal University named after M.K. Ammosov
Russian Federation

Savvina Valentina Alekseevna, Doctor of Medical Sciences, Professor of the Department of Pediatrics and Pediatric Surgery

Yakutsk



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Review

For citations:


Sleptsov A.A., Savvina V.A. Surgical treatment of appendicular peritonitis in children. Yakut Medical Journal. 2018;(2):110-113. https://doi.org/10.25789/YMJ.2018.62.34

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