Laparoscopic Surgery for Acute Appendicitis Complicated by Peritonitis

Introduction . Acute appendicitis (AA) is one of the most common acute abdominal surgical diseases. The current incidence, according to various authors, 22.8 per 10,000 inhabitants. Annually, 50 70 thousand people die from AA and its complications around world. Laparoscopy generally accepted as effective method differential diagnosis AA. It fundamentally significant move diagnostic stage therapeutic one, i.e. perform elimination disease, including cases with other surgery-requiring pathology detected. Aim To evaluate role video-endoscopic methods in management complicated by peritonitis. Materials analysis recent publications personal clinical experience revealed that laparoscopy, unless contraindicated, should be performed initial step suspected pathology. When surgery technically performable, laparoscopy also causes curative effect. Results discussion. use treatment peritonitis has proven advantages for patient over open surgery. An adequate appendectomy a reliable source key successful patients. Laparoscopic lavage early postoperative period against developing complications, considered an alternative non-surgical or delayed intervention have better ultimate results than percutaneous drainage relaparotomy. Conclusion success technologies application depends not only on technical aspects, but correct choice indications such their appropriate combination surgeries.