[Acute appendicitis: disputable problems].

: Latest Russian publications about pathogenesis of acute appendicitis, surgical policy and new approaches to its treatment are discussed. Based on many-year experience of surgical treatment of abdominal diseases and literature data, the author gives his opinion about inexpedience of appendectomy for cataral and unchanged appendix. Unfounded proposals towards changed diagnosis formulation in various forms of destructive appendicitis are subjected to criticism. It is concluded that it is necessary to use traditional approaches to diagnosis and treatment of acute appendicitis.