Laparoscopy in the diagnosis and treatment of chronic recurrent salpingo-oophoritis

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The relevance of the problem under study is due to an increase in gynecological morbidity rates, especially an increase in salpingo-oophoritis, characterized by a chronic course, frequent recurrence, severity of consequences and significant impairment of specific functions with persistent disability in young women of reproductive age.

The purpose of this study: To assess the possibilities of laparoscopy in the diagnosis and prevalence of the pathological process in chronic recurrent salpingo-oophoritis (HRCOO).

Materials and research methods. Were examined 150 patients of reproductive age with exacerbation of chronic salpingo-oophoritis. The average age of the patients was 26.3 + 0.4 years. The duration of the disease is from 2 to 15 years. The frequency of exacerbation is from 2 to 5 times. Among the transferred somatic diseases: pathology of the urinary system - 49.3%, diseases of the gastrointestinal tract - 32.4%, diseases of the CVS - 25.6%, pathology of the endocrine system - 24.2%, diseases of the respiratory system - 13.3%, diseases of the central nervous system - 9.4%.

Laparoscopic examination revealed pathology of the pelvic organs in all patients: in 56.7% - catarrhal salpinitis with pelvioperitonitis, in 24% - purulent salpingo-oophoritis with pelvioperitonitis, in 7.3% - purulent tumor-like formation, including 3.3 % - rupture of purulent tumor-like formation with symptoms of peritonitis, in 4.7% - ectopic pregnancy, in 4% - appendicitis, in 3.3% - ovarian apoplexy. All patients had an adhesive process in the small pelvis. Adhesion process

Stage 1 was diagnosed in 26 (17.3%) patients,

Stage 2 in 40 (26.6%) patients, stage 3 in 55 (36.7%) patients and stage 4 in 29 (19.3%) patients. During laparoscopy, salpingoovariolysis and salpingostomy were performed, opening and removal of tubo-ovarian formations, ovarian resection, decapsulation and enucleation of myomatous nodes, coagulation of endometriosis foci, pelvic drainage, as well as ozonation of the abdominal cavity intra- and postoperatively against the background of traditional anti-inflammatory therapy.

Conclusion. During laparoscopic examination of the pelvic organs, all patients with CRSPO were diagnosed with various pathologies with the prevalence of catarrhal salpingitis (56.7%), purulent salpingo-oophoritis (24%), purulent tubo-ovarian formation (7.3%), accompanied by pelvioperitonitis and adhesions. Complex treatment of patients with CRSPO included surgical laparoscopy, intra- and postoperative ozonation of the abdominal cavity against the background of basic anti-inflammatory therapy. The results of the treatment showed that menstrual function was restored in 68% of patients, ovulation - in 34.5%, the length of hospital stay was reduced by 2 times. Long-term results of the effectiveness of therapy, followed up for 6 months - 3 years, established a stable clinical recovery in 80% of patients with CRSPO.

About the authors

G. Zh. Bodykov

Kazakhstan Medical University

Author for correspondence.
Email: info@eco-vector.com
Kazakhstan, Almaty, Republic of Kazakhstan

А. Т. Raisova

Kazakhstan Medical University

Email: info@eco-vector.com
Kazakhstan, Almaty, Republic of Kazakhstan

N. Р. Dolinskaya

Kazakhstan Medical University

Email: info@eco-vector.com
Kazakhstan, Almaty, Republic of Kazakhstan

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