On the connection of the musculature of the vermiform process and the Bauginian flap

Abstract

Recently, the curve of appendectomies, as can be seen from numerous statistics, has been steadily growing, and this massive operation is predominant in the work of some clinics (Burlakov31% of appendectomies out of all operations). Undoubtedly, such a huge percentage of appendectomies forces surgeons to critically analyze the material of their clinics. But what causes particular concern is the longterm results of appendectomies, which often compromise this operation, giving large percentages of relapses of the same painful symptoms that existed before the operation. The percentage of relapses from 3.9% in Rozanov according to other authors rises sharply (Horn 21%, Lick 40%, Rodzievsky 57.8%, Goffs 50%). Such huge fluctuations in the nature of the outcomes of diseases, the diagnosis of which, it would seem, should be well developed, are directly striking. Involuntarily, the question arises about the expediency of such a number of appendectomies and the closely related issue of diagnostic errors. It is necessary to make a reservation that we mean painful phenomena coming under the diagnosis of chronic appendicitis, and not acute, because with regard to the latter, diagnosis and indications for surgery are not particularly difficult, and therefore operations in acute cases of appendicitis give results that satisfy surgeons.