Retrospective analysis of urgent gynecological laparoscopic surgery in patients of reproductive age
- Autores: Sulima A.N.1, Gudz O.V.1
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Afiliações:
- V.I. Vernadsky Federal Crimean University
- Edição: Nº 1 (2024)
- Páginas: 118-122
- Seção: Original Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/628885
- DOI: https://doi.org/10.18565/aig.2023.247
- ID: 628885
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Resumo
Objective: To perform a retrospective analysis to identify relationship between various nosological forms and blood volume loss, the severity of the adhesive process, duration of surgery and postoperative rehabilitation period in emergency gynecology.
Materials and methods: The analysis of 371 cases of emergency surgery in women of reproductive age was performed. The women were divided into 4 groups. Group 1 comprised 158/371 (42.6%) women with ovarian apoplexy or ruptured ovarian cysts. Group 2 included 92/371 (24.8%) women with interrupted ectopic pregnancy. Group 3 included 65/371 (17.5%) women with various complicated forms of extragenital endometriosis. Group 4 consisted of 56/371 (15.1%) women with combination of factors.
Results: The maximum volume of blood loss was 290.0 ml in group 1 versus 132.0 ml in group 3, 100 ml in group 2 and 118.5 ml in group 4. The maximum duration of surgery was 63.0 and 64.0 minutes in group 1 and 2. The maxim length of hospital stay was 6 bed days in group 3 and the minimum length was 3.5 bed days in group 2. Minimal severity level of adhesions (stage 1) was most often in group 1 (in 87.3% of women), and maximal severity level (stage IV) was in group 3 (in 7.7% of women).
Conclusion: In the structure of urgent gynecological disorders, ovarian apoplexy or ruptured ovarian cysts were predominant. Ectopic pregnancy ranked second. Blood volume loss was higher in women with ovarian apoplexy and ruptured ovarian cysts. Duration of surgery and rehabilitation period was longer in women with extragenital endometriosis.
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Sobre autores
Anna Sulima
V.I. Vernadsky Federal Crimean University
Autor responsável pela correspondência
Email: gsulima@yandex.ru
ORCID ID: 0000-0002-2671-6985
Dr. Med. Sci., Professor at the Department of Obstetrics, Gynecology and Perinatology No. 1, Order of Labor Red Banner Medical Institute named after S.I. Georgievsky
Rússia, 295051, Simferopol, Boulevard Lenina 5/7Oksana Gudz
V.I. Vernadsky Federal Crimean University
Email: pugovlaoks@mail.ru
ORCID ID: 0000-0002-4881-6792
Assistant at the Department of Obstetrics, Gynecology and Perinatology No. 1, Order of Labor Red Banner Medical Institute named after S.I. Georgievsky
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