Correction of microcirculation disorders is the basis for the etiotropic therapy of non-destructive appendicitis in children

The analysis of the clinic and the data of ultrasound appendicular appendix in 102 patients aged 1-17 years old, the median age of patients was 9 years 3 months (interquartile interval 1 year 7 months - 16 years 8 months) with the disease duration 4-12 hours at the time of hospitalization, for 2016 - 2017 gg. Parenterally, the myotropic spasmolytic drotaverin was administered at the age-related dosage. After 1.5-2 hours after its administration, abdominal pain syndrome was stopped in 64 patients and confirmed by visualizing ultrasound scores. In 14 patients, diagnostic laparoscopy was performed, in 24 patients - appendectomy. According to the US Surgeons Protocol (2013), of the 24 operated patients, only in 2 patients, with coprolite and a fragment of the pine nut shell in the lumen of the appendicular process, appendectomy was shown, and in 22 patients the operations were considered unfounded.

nondestructive appendicitis, children, antispasmodics in etiotropic treatment.