Review of 620 cases of the acute appendicitis.
- Author:
Thinh Cuong Nguyen
- Publication Type:Journal Article
- Keywords:
acute appendicitis
- MeSH:
Appendicitis;
Laparoscopy
- From:Journal of Practical Medicine
2002;435(11):34-36
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
From the review of 620 cases with acute appendicitis, the author has shown that: 1. Abdominal pain is present in all patients with appenditis, the initial position of pain is difference: in the epigastrium (17.42%) or around the umbilicus (30.16%); the right lower quadrant (41.45%); the pain becomes steady: 77.58%. The pain in the right lower quadrant when palpation pressure is exreted: 80%, the rebound tenderness: 52.42%. The pain in the position of the appendix is the most important symptom for operation. 2. There was a 3.8% rate of negative appendectomies. The rate of late diagnosis is 16.55%. 3. Laparoscopic appendectomy offers advantages over the open technique by reducing wound infections as well as the other complications and a possible earlier return to normal activities. A laparoscopic procedure also allows complete evaluation of the abdominal cavity without an extension of the incision.