доступ при аппендэктомии

[JanSchmidt]

[dr.Viktor]

[JanSchmidt]

[Felix Augustus]

[Серый]

Ische appendisitis
Cтали появляться­ работы в которых приводятся­
данные,гов­орящие,что­ ресультаты­ антибиоити­котерапии ничем не хуже чем
операции. Более того,такое­
лечение дешевле -1200 дол без операции и 3300 дол.- оперириван­ные. Тут
вот статью нашел,почи­таите на досуге
Randomized clinical trial of antibiotic therapy versus appendicectomy as
primary treatment of acute appendicitis in unselected patients.Hansson
J, K?rner U, Khorram-Manesh A, Solberg A, Lundholm K.
Department of Surgery, Sahlgrenska University Hospital, Gothenburg,
Sweden.
BACKGROUND: A trial in selected men suggested that antibiotic therapy
could be an alternative to appendicectomy in appendicitis. This study
aimed to evaluate antibiotic therapy in unselected men and women with
acute appendicitis. METHODS: Consecutive patients were allocated to
study (antibiotics) or control (surgery) groups according to date of
birth. Study patients received intravenous antibiotics for 24 h and
continued at home with oral antibiotics for 10 days. Control patients
had a standard appendicectomy. Follow-up at 1 and 12 months was carried
out according to intention and per protocol. RESULTS: Study and control
patients were comparable at inclusion; 106 (52.5 per cent) of 202
patients allocated to antibiotics completed the treatment and 154 (92.2
per cent) of 167 patients allocated to appendicectomy had surgery.
Treatment efficacy was 90.8 per cent for antibiotic therapy and 89.2 per
cent for surgery. Recurrent appendicitis occurred in 15 patients (13.9
per cent) after a median of 1 year. A third of recurrences appeared
within 10 days and two-thirds between 3 and 16 months after hospital
discharge. Minor complications were similar between the groups. Major
complications were threefold higher in patients who had an
appendicectomy (P < 0.050). CONCLUSION: Antibiotic treatment appears to
be a safe first-line therapy in unselected patients with acute
appendicitis. Registration number: NCT00469430
(http://www.clinicaltrials.gov). 2009 British Journal of Surgery Society
Ltd. Published by John Wiley & Sons, Ltd.
PMID: 19358184 [PubMed - indexed for MEDLINE]
S.Guminski

[JanSchmidt]

[dr.Viktor]

[dr.Viktor]

[Aborigine]

Ага-антибиотиками...причина воспаления отростка остаётся тайной до момента вхождения "в брухо",а мы его антибиотиками накачиваем.Класс!!

[justdoc]

[Серый]

[Tesora]

Господа, нужно без фанатизма просто. В любой патологии, не только при аппендиците. Лечить только антибиотиками аппендицит - фанатизм. Оперировать всех без разбору по Волковичу - фанатизм. Фанатиков, как говорит история, сжигали на костре.

[КАА]

Не всех, вокруг некоторых потом построили религии...

[Tesora]

[dr.Viktor]