There is 24-hour availability for the management of urgent conditions that require hospitalization in a hospital or clinic. After consultation, we will individualize the approach, determine the optimal solution, and achieve the successful outcome of each case. The most common urgent surgical conditions are acute appendicitis, acute cholecystitis, and intestinal obstruction (ileus) of the small or large intestine.

Acute Appendicitis: The appendix is located at the junction of the large and small intestine in the right iliac fossa (lower right abdomen). Inflammation of the appendix leads to an emergency condition known as acute appendicitis. This may be caused by mechanical factors, such as obstruction by fecaliths, infectious causes like gastrointestinal infections, and hyperplasia of local lymphoid tissue. Rarely, it may result from malignant neoplasms in the area.

The gold standard of treatment is an appendectomy, which is now mostly performed laparoscopically, with patients usually discharged the next day. In addition to surgical treatment, conservative management with antibiotics is also sometimes used. The choice of method depends on the patient’s clinical presentation, imaging findings, and a full evaluation of the advantages and disadvantages of each approach.

Acute Cholecystitis: This is the most common complication of cholelithiasis. It occurs due to obstruction of the gallbladder by stones or sludge, resulting in inflammation. Its management depends on the severity of inflammation, the patient’s clinical condition, and the presence of any comorbidities. Traditionally, patients were hospitalized, given antibiotics, and underwent cholecystectomy 4–6 weeks later. Today, with increased experience and advances in laparoscopic surgery, the recommended management is early laparoscopic cholecystectomy to avoid prolonged hospitalization and reduce recurrence. The choice of approach depends on the patient’s comorbidities, possible use of anticoagulant medications, and availability of an experienced surgeon.

Intestinal Obstruction (Ileus): Obstruction of the small or large intestine presents with abdominal bloating, cessation of gas and stool passage, nausea, and vomiting. The most common causes are adhesions from previous surgeries, incarceration of a preexisting hernia, and the presence of neoplasms. Ileus is an emergency condition, which is managed either surgically or conservatively.