PM Lavreshin¹, VP Glabai², VK Gobedzhishvili², SS Korablina¹*, VV Gobedzhishvili¹ and EV Kochkarov¹

¹Stavropol State Medical University, Stavropol, Russian Federation
²Sechenov First Moscow State Medical University, Moscow, Russian Federation
³Stavropolsky Antiplague Scientific Research Institute of Rospotrebnadzor, Stavropol, Russian Federation

*Corresponding Author: SS Korablina, Stavropol State Medical University, Stavropol, Russian Federation.

Received: February 25, 2022; Published: March 11, 2022

Abstract

A comparison of several parameters in 53 operated patients with abdominal adhesions and 53 patients without abdominal adhesions was made to elaborate prognostic criteria for the development of abdominal adhesions in patients after appendectomy. Considering the informative value of the criteria including obesity, acetylation status, propensity for excessive scarring, appendix location, allergy, gastrointestinal disorders, absence of connective tissue dysplasia syndrome (CTDS), they shall be considered risk factors favoring the development of postoperative abdominal adhesions in patients with acute appendicitis (AA). Results of surgical treatment in 360 patients with acute appendicitis have been presented. Group 1 (Control 1) included 120 patients who received standard treatment. Group 2 (Control 2) comprised 120 patients who underwent laparoscopic appendectomy. Group 3 (Main) included 120 patients whom laparotomy appendectomy as fast-track surgery was offered. Anti-adhesion therapy in high-risk patients allowed to reduce potential development of abdominal adhesions by 3.9 times, i.e. from 34.5% to 8.8%. A multimodality approach to treat patients with acute appendicitis resulted in a 3.23-time reduction of postoperative adhesion formation process compared to open appendectomy, and a 1.75-time reduction for laparoscopic approach.

Keywords: Acute Appendicitis; Prognosis; Prevention; Abdominal Adhesions

Bibliography

1. Zemskov TS., et al. “Dynamics and prognosis of morbidity and postoperative mortality in acute appendicitis in the Ulyanovsk Oblast over 43 years”. Modern Problems of Science and Education 6 (2014).
2. Dubakov АS. “The value of laparoscopy as a diagnostic method to treat acute appendicitis”. Bulletin of Medical Internet Conferences 8.5 (2018): 237.
3. Kasimov RR and Mukhin АS. “Current diagnosis in acute appendicitis”. Modern Technologies in Medicine 4 (2013): 112-114.
4. Basnaev UI., et al. “Experience of using "fast-track" surgery to treat patients with acute appendicitis”. Tavria Medical and Biological Bulletin3-1 (2017): 6-10.
5. Brekhov EI., et al. “The issue of acute appendicitis in current emergency surgery”. Kremlin Medicine Journal 2 (2016): 5-8.
6. Salavatullin АV., et al. “Current issues of surgical treatment acute appendicitis and complications”. European Student Scientific Journal 4-2 (2016): 218-219.
7. Charishkin АL., et al. “The issue of diagnosis and treatment of acute appendicitis”. Ulyanovsk Medicobiological Journal 1 (2015): 92-100.

Citation: SS Korablina., et al. “Prognosis of the Development of Abdominal Adhesions After Appendectomy". Acta Scientific Clinical Case Reports 3.4 (2022): 30-36.

Copyright: © 2022 SS Korablina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.