Problems of diagnostics and treatment of an acute appendicitis

The review of literature of domestic and foreign literature on a problem of an acute appendicitis from 1972-2014 is carried out. The surgeries which are carried out concerning an acute appendicitis zanikmat the first place in relation to all other urgent operations, the share of an appendektomiya makes according to different authors from 20 to 85 %. Rather accurate interrelation a uvelichekniya of frequency of destructive forms of an acute appendicitis with a uveklicheniye of age of patients is traced. Now apply to tool diagnostics of an acute appendicitis: Ultrasonography of abdominal organs, KT of an abdominal cavity and laparoscopy. In modern abdominal surgery in difficult clinical situations the laparoscopy is the main invasive method in diagnostics of an acute appendicitis, many authors so consider. This method allows to exclude hyper diagnostics of an acute appendicitis and vain appendektomiya, and also to find the diseases proceeding behind a mask of an acute appendicitis. Despite widespread introduction, still there is debate about advantages between a laparoscopic and open appendektomiya. The main problems of the postoperative period both a laparoscopic, and open appendektomiya are pyoinflammatory complications. Prevention and treatment of purulent complications after an appendektomiya remains to one of actual and difficult problems of clinical surgery that demands improvement of methods of surgical treatment.