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[Acute appendicitis - changes in epidemiology, diagnosis and therapy].
- Source :
-
Zentralblatt fur Chirurgie [Zentralbl Chir] 2011 Feb; Vol. 136 (1), pp. 18-24. Date of Electronic Publication: 2010 Dec 23. - Publication Year :
- 2011
-
Abstract
- Appendicitis is the most common cause of an -acute abdomen. Around 135 000 patients undergo appendectomy in Germany every year. Acute -appendicitis shows changes in epidemiology, -diagnosis and therapy. Epidemiological data indicate a continuing decrease in the incidence of acute non-perforated appendicitis. The incidence of perforated appendicitis has remained constant despite laparoscopy and imaging diagnostics. The status of sonography and CT scanning is increasing in the diagnosis of appendicitis. But there are differences between the sensitivity and specifity of study results and the clinical routine. The in-crease of imaging diagnostics does not correlate with a decrease in the incidence of perforated -appendicitis. Laparoscopic appendectomy has -developed as a dominant method for operative therapy. There is no proof of a higher rate of postoperative intraabdominal abscesses any more. The use of a stapler is mostly required for appendical stump closure.<br /> (© Georg Thieme Verlag Stuttgart ˙ New York.)
- Subjects :
- Abdominal Abscess epidemiology
Adolescent
Age Factors
Appendicitis diagnosis
Child
Cross-Sectional Studies
Germany
Humans
Incidence
Laparoscopy statistics & numerical data
Magnetic Resonance Imaging
Postoperative Complications epidemiology
Sex Factors
Tomography, X-Ray Computed
Ultrasonography
Utilization Review statistics & numerical data
Young Adult
Abdomen, Acute epidemiology
Abdomen, Acute surgery
Appendectomy statistics & numerical data
Appendicitis epidemiology
Appendicitis surgery
Subjects
Details
- Language :
- German
- ISSN :
- 1438-9592
- Volume :
- 136
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Zentralblatt fur Chirurgie
- Publication Type :
- Academic Journal
- Accession number :
- 21184386
- Full Text :
- https://doi.org/10.1055/s-0030-1247477