244 -5 (79) 2025 - Urokov. Sh.T., Abidov O'.O. - THE RESULTS OF TREATMENT OF ACUTE APPENDICITIS ON THE BACKGROUND OF LIVER CIRRHOSIS ARE PRESENTED

THE RESULTS OF TREATMENT OF ACUTE APPENDICITIS ON THE BACKGROUND OF LIVER CIRRHOSIS ARE PRESENTED

Urokov. Sh.T. - Bukhara State Medical Institute named after Abu Ali ibn Sina, Bukhara branch of the Republican Scientific Center for Emergency Medical Care Uzbekistan

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

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

Resume

The development of acute appendicitis (AA) in patients with liver cirrhosis (LC) presents significant clinical and diagnostic challenges. A retrospective analysis examined complications and mortality in 24 patients with LC. In the postoperative period, wound suppuration (29%), bleeding (8.3%), sepsis and pneumonia (8.3%), peritonitis (8.3%), and mortality in 25% of cases were observed. These complications were mainly recorded in patients with decompensated LC. In the main (prospective) group, 40 patients were examined and treated. The treatment strategy was determined based on extended diagnostics (MRI, C-reactive protein, and biochemical tests). In cases of catarrhal appendicitis (20%), conservative treatment (NOM) was successfully applied. In the compensated stage, laparoscopic appendectomy (LAE) was found to be the optimal method, whereas in the decompensated stage, open appendectomy (OAE) under local anesthesia was recommended. As a result, the complication and mortality rate decreased from 25% in the control group to 10% in the main group. This is explained by the effective integration of preventive measures into the treatment strategy. The diagnosis and treatment of AA in patients with LC require the use of modern diagnostic tools, minimally invasive approaches, and stratification of treatment tactics according to the patient’s functional condition

Keywords: liver cirrhosis, acute appendicitis, laparoscopic appendectomy, open appendectomy, NOM, surgical methods

First page

1212

Last page

1218

For citation:Urokov. Sh.T., Abidov O'.O., Khudaybergenov Sh.O. - THE RESULTS OF TREATMENT OF ACUTE APPENDICITIS ON THE BACKGROUND OF LIVER CIRRHOSIS ARE PRESENTED//New Day in Medicine 5(79)2025 1212-1218 https://newdayworldmedicine.com/en/new_day_medicine/5-79-2025

List of References

1. Дронов А.Ф., Котлобовский В.И., Поддубный И.В. // Эндоскопическая хирургия. -2000. - I №3. - С.16-19.
2. Котлобовский, В.И. Лапароскопическая хирургия распространенного аппендикулярного перитонита: сравнительное проспективное рандомизированное исследование / В.И. Котлобовский, А.Ф. Дронов // Материалы X международного конгресса по эндоскопической хирургии. - М., 2006. - С. 93.
3. Седов, В.М. Аппендицит / В.М. Седов. - СПб.: ЭЛБИ, 2002. -232с.
4. Adiamah, A., Rashid, A., Crooks, C. J., Hammond, J. S., Jepsen, P., West, J., & Humes, D. J. (2023). Outcomes after emergency appendicectomy in patients with liver cirrhosis: a population-based cohort study from England. Langenbeck's archives of surgery, 408(1), 362. https://doi.org/10.1007/s00423-023-03072-3.
5. Akbulut, S., et al., An investigation into the factors predicting acute appendicitis and perforated appendicitis. Ulusal Travma veAcil Cerrahi Dergisi, 2021. 27(4): p. 434-442.
6. Rashid, A., Gupta, A., Adiamah, A., West, J., Grainge, M., Humes, D. J. (2022). Mortality Following Appendicectomy in Liver Cirrhosis: A Systematic Review and Meta-Analysis. World journal of surgery, 46(3), 531–541. https://doi.org/10.1007/s00268-021-06373-0

   file

   download