73 -5 (79) 2025 - Urokov Sh.T., Abidov U.O. - A RETROSPECTIVE ANALYSIS OF THE CLINICAL COURSE OF ACUTE APPENDICITIS ON THE BACKGROUND OF LIVER CIRRHOSIS AND ITS COMPLICATIONS

A RETROSPECTIVE ANALYSIS OF THE CLINICAL COURSE OF ACUTE APPENDICITIS ON THE BACKGROUND OF LIVER CIRRHOSIS AND ITS COMPLICATIONS

Niyozova D.Sh. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Republican Scientific Center for Emergency Medical Care Uzbekistan

Abidov U.O. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Republican Scientific Center for Emergency Medical Care Uzbekistan

Khudaybergenov Sh.O. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Republican Scientific Center for Emergency Medical Care Uzbekistan

Resume

Acute appendicitis (OA) is one of the most common urgent surgical diseases, which in conditions of cirrhosis of the liver (CP) leads to serious problems in diagnosis and treatment. Immunodeficiency, blood clotting disorders, ascites, and portal hypertension, characteristic of CP, aggravate the course of OA. Between 2017 and 2024, 64 patients with OA were analyzed. The study included a retrospective analysis (24 patients) and a prospective follow-up (40 patients). In addition to standard laboratory tests, patients with CP underwent biochemical liver examination and modern instrumental diagnostic methods (MRI). It has been established that with CP, OA often manifests itself with atypical symptoms. The majority of patients (87.5%) had decompensated CP. The phlegmonous form of OA was diagnosed in 50% of cases, catarrhal – in 37.5%, gangrenous – in 12.5%. Severe forms of OA were more often registered against the background of decompensated CP. Postoperative complications were high, and mortality was 25%. The analysis confirmed the importance of an individual approach in the diagnosis and treatment of OA in patients with CP. Improved surgical tactics and enhanced postoperative monitoring can help reduce complications and mortality

Key words: acute appendicitis, cirrhosis of the liver, postoperative complications, laparoscopic appendectomy, peritonitis, C-reactive protein, complications of CP

First page

371

Last page

377

For citation:Urokov Sh.T., Abidov U.O., Khudaybergenov Sh.O. - A RETROSPECTIVE ANALYSIS OF THE CLINICAL COURSE OF ACUTE APPENDICITIS ON THE BACKGROUND OF LIVER CIRRHOSIS AND ITS COMPLICATIONS//New Day in Medicine 5(79)2025 371-377 https://newdayworldmedicine.com/en/new_day_medicine/5-79-2025

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