IMPROVEMENT OF RESULTS OF SURGICAL TREATMENT OF THE URGENT COMBINED PATHOLOGIES OF ABDOMINAL ORGANS AND GENITALIYA
Aim. Optimization of surgical treatment of the urgent combined pathologies of abdominal organs and genital, application by modern low-invasive technology. Materials and methods. The analysis of results of urgent simultaneous laparoscopic interventions of 92 women with the combined surgical and gynecologic diseases is the basis for work. Classification of r-AFS was applied to a degree assessment the adnexal of soldering's at this contingent of the women revealed during performance of a video laparoscopy. Thus according to extent of adhesive process of a small pelvis, at 29 (43,9%) women it is established adhesive process of the I degree, at 30 (45,4%) - II, at 5 (7,6%) - III, and at 2 (3,1%) - the IV extents of adhesive process. Results. The most often met combination of surgical and gynecologic pathologies was an acute appendicitis that made 91,7%. The combination of sharp calculous cholecystitis to diseases of bodies a genital is noted at 16,3% of women where in 3 (3,3%) cases LHE and amputation of a uterus is made. In 71,8% supervision it is made a laparoscopic appendectomy and a section of soldering's of a small pelvis, with additional carrying out hysteroscopy. Postoperative complications are noted at 8 (8,7%) women, and postoperative bed day was 4,8±1,2. Conclusion. Application of a video laparoscopy for women with the combined surgical and gynecologic pathologies, at the correct individual selection, allows to reduce injury of surgical intervention considerably.