title: [Changes in indications in laparoscopic appendectomy?].
abstract: Acute appendicitis requires timely surgery. Still history and physical exam essentially lead us to the diagnosis. The definite histological-pathological finding of acute inflammation postoperatively confirms the diagnosis. Other findings especially chronic or chronic-recurrent inflammation should rise doubt. Therefore other criteria are needed to evaluate the quality of diagnosis for instance the nearly equal male to female relation of 1:1 in all appendectomies as well as in each decade. Today the principles of a strict indication for appendectomy becomes more loose because of the use of laparoscopy as we have shown in or own investigations. The valid standard have to be kept up, on the other hand we must reconsider the indication for surgery under the diagnosis "chronic or chronic-recurrent appendicitis".
authors.affiliation: Chirurgische Klinik, Wald-Klinikum Gera gGmbH.
authors.forename: H
authors.initials: H
authors.lastname: Schramm
authors.forename: F
authors.initials: F
authors.lastname: Arnold
authors.forename: T
authors.initials: T
authors.lastname: Melchert
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery*; D001065:Appendix / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012008:Recurrence