[Evidence for standard surgical procedures: appendicitis, diverticulitis and cholecystitis].

BACKGROUND

Acute appendicitis, cholecystitis and sigmoid diverticulitis are the most common inflammatory visceral surgical emergencies. According to the principles of evidence-based medicine, treatment methods and surgical indications should be constantly questioned and validated by high-quality clinical studies.

OBJECTIVE

To identify and classify the current evidence on surgical treatment of acute appendicitis, cholecystitis and sigmoid diverticulitis.

MATERIAL AND METHODS

Targeted literature search in Medline, the Cochrane Library and study registers (clinicaltrials.gov).

RESULTS AND CONCLUSION

The indications for surgery are changing due to increasing numbers of high-quality clinical studies. Conservative treatment seems to be feasible in the early stages. In contrast, many surgical steps have not yet been sufficiently validated. Furthermore, there is a great need for high-quality, prospective randomized clinical trials, so that promotion of studies and the study culture in surgery should continue to be of greatest interest.