The little known domestic appendicular palpatory diagnostic techniques in adults: their effectiveness and practical significance at the prehospital stage

Objective: To exchange clinical experience between surgeons, namely, private methods of physical examination of adult patients with acute appendicitis.Material and methods. Between January 2017 and December 2020, the sample included 300 patients aged 18-55 years (average age was 36.4±3.2 years), without gender. The study included two stages: pre-hospital (assessment of symptoms by paramedics and doctors of linear teams of ambulances, doctors of primary (polyclinic) level) and hospital (assessment of symptoms by surgeons of the hospital's emergency Department with subsequent comparative verification by laboratory and instrumental, including intraoperative diagnostics). In total, the study included 20 paramedics and 5 doctors of linear emergency medical teams and 5 doctors of polyclinics in Volgograd and 15 surgeons of emergency departments.Results. During the performed study was to obtain results that indicate sufficient validity of the studied prehospital appendicular symptoms, which allows to conclude the following: the symptom is R. V. Soft was accurate in 87%, and symptom I. Krayushkina in 86% of cases of destructive forms of acute appendicitis.Conclusion. These appendicular symptoms can be recommended for use in routine clinical practice, both at the prehospital and hospital stages of diagnosis of acute appendicitis in adults.