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CHRONIC ABDOMINAL SYNDROME WITH LOCALIZATION IN THE RIGHT ILIAC REGION IN CHILDREN: SURGICAL ASPECTS


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Abstract

The review presents up-to-date data on pathophysiology, principles of diagnosis, and surgical treatment of chronic abdominal syndrome (CAS) with localization in the right iliac region (HASRIR) in children. There are summarized data on histological changes proving the relationship between appendix pathology and localized pain in the right iliac region in children. The sensitivity, specificity, and information content of laparoscopy in the diagnosis of the causes of periodic pain in the right iliac region were shown to reach 90.9%. Significant macroscopic signs of CAS during laparoscopy are as follows: adhesions involving the process, its rigidity, palpable fecal stones, process atrophy, process wall diverticula, mucocele. If these symptoms are found in HASRIR patients, it is recommended to perform laparoscopic appendectomy


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