Extraperitoneal spaces Diagnosis and treatment of 17 cases of appendicitis.docVIP

 PAGE \* MERGEFORMAT 5 Extraperitoneal spaces Diagnosis and treatment of 17 cases of appendicitis [Keywords:] extraperitoneal spaces; appendicitis; diagnosis and treatment of appendicitis as extraperitoneal a special type of appendicitis, the symptoms and signs of appendicitis different than the general, clinical misdiagnosis and delayed treatment, and cause inconvenience to the surgical procedure. Hospital from 1998-2008 386 patients were treated appendicitis, in which surgical exploration identified by the appendix in 17 cases of extraperitoneal bit, now its diagnosis, treatment, as follows. 1 1.1 General Information The clinical data of 17 patients, 10 males and 7 females, sex ratio of 10:7; the oldest 70 years old, minimum age of 9, 9 to 30 years and 6 cases, accounting for 35.3%, 31 to 50 years old 6 cases, 35.3%, 51 to 70 years in 5 cases, 29.4%. the shortest pre-hospital incidence of 12 h, up to 6 days; the shortest hospital stay 8 days, up to 21 days, an average of 11 days. 1.2 The clinical manifestations in Table 1. 1.3 Treatment and prognosis of this group of patients during surgery, 13 patients taking retrograde appendectomy, 4 patients for routine resection; cut in 5 patients after peritoneal sutures made, 12 cases were not stitched, which placed a shunt in 9 cases ; postoperative wound infection in 9 cases, accounting for 52.9%, a healing of 7 cases, 41.1%. followed up for 6 to 12 months, 15 patients without complications, 1 case of incomplete intestinal obstruction complicated by cured by conservative treatment, 1 cases of intestinal obstruction due to adhesions after surgery side once again recovered. Table 1, 2, 17 patients with clinical symptoms and signs of the discussion 2.1 the set of data from the view, the incidence of this type with the general type of appendicitis in the age, sex is no big differences. The incidence of appendicitis over the same period the total number of about 4.3%. its pathogenesis Besides general