[ XXXX - changes in epidemiology, diagnosis and therapy].

@entity1 @entity697 @entity698
@entity698 is the most common cause of an -acute abdomen. Around 135 000 @entity1 undergo appendectomy in Germany every year. @entity697 shows changes in epidemiology, -diagnosis and therapy. Epidemiological data indicate a continuing decrease in the incidence of @entity698 . The incidence of @entity698 has remained constant despite laparoscopy and imaging diagnostics. The status of sonography and CT scanning is increasing in the diagnosis of @entity698 . But there are differences between the sensitivity and specifity of study results and the clinical routine. The in-crease of imaging diagnostics does not correlate with a decrease in the incidence of @entity698 . Laparoscopic appendectomy has -developed as a dominant method for operative therapy. There is no proof of a higher rate of postoperative intraabdominal abscesses any more. The use of a stapler is mostly required for appendical stump closure.
