Laparoscopy in the treatment of destructive forms of acute appendicitis in children
The problem of diagnosis and treatment of acute appendicitis in children despite significant progress has always been relevant in the emergency room. The purpose of this study was to examine the results of treatment of destructive forms of acute appendicitis in children operated by laparoscopic method. In the absence of contraindications we have operated by laparoscopic method of 506 children with destructive forms of acute appendicitis. The minimum traumatization of the peritoneum, the reduction process of the contact with the surrounding tissues significantly reduced the complication rate to 0,4 %. Application and development of laparoscopic techniques appendektomii safe to use in complicated forms of acute appendicitis, since treatment of appendicular peritonitis encompasses a broad surgical approach. Therefore, we believe laparoscopic appendektomy in children, the method of choice in the treatment of destructive forms of acute appendicitis.