მწვავე აპენდიციტის მართვა მოზრდილი ასაკის პაციენტებში, კლინიკური პრაქტიკის ეროვნული რეკომენდაცია (გაიდლაინი)

გ. არაბიძე, გ. დათუაშვილი, გ. თომაძე, მ. კილაძე, ნ. ლომიძე, ბ. მოსიძე, თ. ჩხიკვაძე, ნ. ფრუიძე, ბ. ჩაკვეტაძე, დ. ჯიქია
2020
Acute appendicitis is one of the most common reasons of severe abdominal pain and is the most common indication for surgical intervention in emergency abdominal surgery. It can progress to perforation and peritonitis associated with severe complications and death. Acute appendicitis is characterized by a variety of clinical manifestations and course, leading to the difficulty of differential diagnosis. The role of imaging studies (Ultrasound, CT, MRI) in the diagnosis of acute appendicitis
more » ... e appendicitis remains controversial around the world. In the surgical treatment of acute appendicitis, the paradigm shifted from open appendectomy to laparoscopic appendectomy in both adults and children. In the last decade, in uncomplicated cases, non-surgical treatment with antibiotics has been provided as an alternative to surgical intervention. Despite the existence of many guidelines, comprehensive clinical recommendations for the diagnosis and management of acute appendicitis have not yet been published. Georgia isn't exception. Therefore, the Georgian Association of Surgeons of Grigol Mukhadze has decided to develop a relatively complete, voluminous guideline of clinical recommendations based on new, modern international guidelines. The guideline presented by us is based on several international and Georgian sources. In the process of developing the guideline, various guidelines were agreed upon, translated, further adapted and examined by leading specialists in the field. The main provisions of the guidelines were discussed at the International Congress of Surgeons of Georgia Grigol Mukhadze 2018 on September 21, 2018, which was held together with the representatives of the World Association of Emergency Surgeons. The adaptation was adopted at the September 2019 meeting of the Georgian Surgeons Association. In addition, the main guidelines for guidelines were compared and modernized with the World Emergency Surgery Society (WSWS) with the updated version of the Jerusalem Guideline 2020 (Diagnosis and treatment of acute appendicitis: [...]
doi:10.48412/gtbgs.2020.08.30-51 fatcat:6qvpl5cyejfjvmhomrefsv3cpi