Laparoscopic surgery in diagnostics and treatment of sharp inflammatory diseases of appendages of the uterus

V. V. Strizheletsky; Стрижелецкий В. В.; Т. Y. Zhemchuzhuzhina; Жемчужина Т. Ю.; А. N. Luchkin; Лучкин А. Н.; Е. I. Kahyany; Кахиани Е. И.; А. N. Tayts; Тайц А. Н.

doi:10.17816/JOWD87204

Laparoscopic surgery in diagnostics and treatment of sharp inflammatory diseases of appendages of the uterus

Authors: Strizheletsky V.V.¹^,2, Zhemchuzhuzhina Т.Y.¹^,2, Luchkin А.N.¹^,2, Kahyany Е.I.¹^,2, Tayts А.N.¹^,2
Affiliations:
1. Saint-Petersburg State Pediatric Medical Academy
2. City Center for Endovideosurgery of the Elizabethan Hospital
Issue: Vol 54, No 5S (2005)
Pages: 30-30
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87204
DOI: https://doi.org/10.17816/JOWD87204
ID: 87204

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Abstract

Introduction. Acute inflammatory diseases of uterine appendages are today medical problem that significantly affect the health of women of child-bearing age. In recent years the number of diseases of this group has increased.

Keywords

endovideosurgical technologies, diagnosis and treatment of acute inflammatory diseases of the uterine appendages, diseases of the uterine appendages

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Material and methods. We have analyzed the outcomes of treatment of women at the child-bearing age with the acute inflammatory pathology of uterine appendages that underwent urgent laparoscopic surgery during 1995-2004 years. During this period we performed 528 laparoscopic operations in patients with these pathologic conditions. Most often diagnosis analyzed in our trial were acute salpingo-oophoritis and pyosalphingo-oophoritis complicated by a pelvioperitonitis (342) and formation of encystments of uterine appendages (pyosalpings, pyo-ovarium) (186 cases).

Results. In our trial we observed such laparoscopic operations as: adhesiolisis -127, salpingo-oophoriolisis - 196, salpingostomy - 14, salpingoectomy - 86, evacuation of pus from ovary -15, oophorectomy - 34, evacuation of salpingo-ovarial abscesses - 24, hemi-oophor- and hemi-salpingectomy - 56. 16 operated patients that had been operated for salpingo-ovarial tumors needed to be operated laparoscopicaly for elective sanitations of abdominal cavity and monitoring of recovery process.

Conclusions. Our experience have shown that application of laparoscopic surgery in management of patients with acute inflammatory diseases of uterine appendages (salpingitis, adnexitis etc.) provides the adequate operative management and thorough sanitation of abdominal cavity. During the postoperative period it is the method of choice for elective (repeated) sanitations of abdominal cavity as well as for prevention of severe postoperative complications.

About the authors

V. V. Strizheletsky

Saint-Petersburg State Pediatric Medical Academy; City Center for Endovideosurgery of the Elizabethan Hospital

Author for correspondence.
Email: info@eco-vector.com

Department of obstetrics and gynecology