SURGICAL TREATMENT OF PENALTY FOR APENDICYT AND PECULIARITIES OF POST-PERAINING CARE FOR THEM

Goncharov M. P., Horkawa B. A.

LECTURES

Scentific article

Taking into account that we live in an era of innovation and scientific and technical development, when most diseases are 100% treated and can be detected in advance, there are still a number of diseases that are most commonly encountered and which, at a certain stage of development, lead to mortality of the patient. These diseases include appendicitis. This is a well-known surgical disease known to everyone, however complicated, however, and at the same time difficult, especially if it is untimely to seek medical help from a doctor, the result may be fatal. Acute appendicitis (appendicitis acuta) – a disease requiring surgical intervention, the essence of which is the inflammation of the appendix, caused by pathogenic microorganisms. The first operation for appendicitis was carried out in 1735 by English surgeon Claudius Amyand, who operated a patient with a perforation of the appendix without anesthesia. In 1886, the pathologist from Harvard, Reginald Fitz, first discovered signs of acute appendicitis. That he persuaded and insisted on the fact that at an early stage of the detection of the disease, to carry out the operation. To his statements for a long time no one heeded. However, at the end of the nineteenth century an appendectomy was carried out by the English surgeon Henry Hanseatic, during which complications of acute appendicitis were discovered, which in fact proved to be the proof of Reginald Fitz’s beliefs. Since then, surgeons of many generations have been engaged in today’s research on this disease, the peculiarities of its occurrence and treatment. Due to the developed recommendations for the treatment of appendicitis patients through surgical intervention, postoperative lethality significantly decreased. The questions of surgical treatment of patients with appendicitis were covered in the works of leading surgeonsscientists, in particular: A.I. Zhuravleva, N.D. Graevskaya, A. Olearchyk, M.P. Pavlovskii, N.I. Boyko, V.V. Khomyak, A.A. Serdyuk, A.A. Khizhnyak, S.S. Dubovskaya, M.D. Bitschuk, S.M. Speedy and so on. However, taking into account the significant achievements in this problem, it is worth noting that to date, not all questions regarding the treatment and care of appendicitis patients have been resolved. So, the great difficulty of surgical treatment is the atypical forms of the disease. It should be emphasized that it is they that occur in 93% of patients with appendicitis. This form is indeed complicated not only for the surgeon, but also for the patient himself, as the disease progresses very intensively, since from the beginning and within 24 hours, the patient enters a surgical hospital. In addition, the problem lies in the fact that the operation of uncomplicated appendicitis is devoted to many works, but the methodology of conducting operations with complicated requires detailed study and study. The surgeon faces an extremely important task – to detect acute appendicitis in a timely manner, to do everything necessary to prevent complications, and to minimize the frequency of removal of unchanged appendix. So, as we see, today this topic is relevant. The main objective is to investigate the surgical treatment of appendicitis patients and to determine the characteristics of postoperative care of them. The subject of the study are patients with appendicitis. When writing the article, the following methods were used: analytical, statistical, problem-thematic, bibliographic, descriptive, induction, deduction and synthesis.

appendicitis, appendix, surgeon, operation, patient, appendectomy, treatment, disease, appendix

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«Bulletin of problems biology and medicine» Issue 4 Part 3 (141), 2017 year, 14-19 pages, index UDK 616.346.2-002.1-07-089:617.576

10.29254/2077–4214–2017–4–3–141–14-19