The results of estimating the quality of medical care which is presented by clinical statement of Saint-Petersburg of the «abdominal surgery» profile

The possibilities of improving the quality of diagnosis and treatment of acute appendicitis by identifying the correlations of its clinical manifestations and diagnostic polymorphism of morphological changes of the appendix, as well as diagnostic methods of this surgical pathology are analyzed. Out of 361 patients admitted for 3 years to a military hospital with clinical manifestations of acute appendicitis, the diagnosis was confirmed in 195 (54%). Of those who underwent laparoscopy, the operation at the diagnostic stage was completed in 12 (26.1%) patients, in 34 (73.9%) patients during laparoscopy, the diagnosis of the destructive form of acute appendicitis was confirmed. Of these, laparoscopic appendectomy was performed in 9 patients, other methods of appendectomy were performed in 25 patients. In all cases, the performance of diagnostic laparoscopy made it possible to clarify the diagnosis, and to avoid errors in the diagnosis of other diseases under the mask of «acute appendicitis.» It is important to note that when performing diagnostic laparoscopy and laparoscopic appendectomy there were no differences in clinical and morphological diagnoses. According to the results of work, in the diagnosis and treatment of acute appendicitis, laparoscopy is the primary method.