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  • 1 Nagyatád Med Egészségügyi Szolgáltató Kft. Sebészet, Mátrixosztály Nagyatád Bajcsy-Zs. u. 1. 7500
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Az akut appendicitis az utóbbi három évtizedben egyre kisebb gyakorisággal fordul elő a fejlett ipari országokban. Magyarországon 1961-től 1991-ig az évenként végzett appendectomiák száma jelentősen csökkent. 1991 óta a műtétek gyakorisága lényegében változatlan. A betegség etiológiájában korábban az appendix lumenelzáródásának, ma a kevert aerob, anaerob bakteriális infekciónak tulajdonítanak fontosabb szerepet. A gyulladásos folyamat – immungenetikai különbségek szerint – gyógyuláshoz vagy szöveti nekrózishoz, perforációhoz vezethet. Jelenleg még nem ismert olyan módszer, amellyel megfelelő időben elkülöníthető a spontán vagy antibiotikummal gyógyuló appendicitis attól, amelyik szöveti nekrózissal jár, bár a hasi ultrahang rutinszerű használatával bővült a kórkép korszerű diagnosztikus eszköztára. Az elmúlt évtizedekben a féregnyúlvány eltávolításának műtéttechnikája is változott. A tapasztalatok azt bizonyítják, hogy a laparoszkópos appendectomia általában előnyösebb az akut appendicitises betegek kezelésére, mint a hagyományos műtét.

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