INFLUENCE OF LEVEL OF THE INTRA-ABDOMINAL HYPERTENSION ON OUTCOMES OF THE APPENDECTOMY AT PREGNANT WOMEN
The article analyzes of the relationship outcome appendectomy in pregnant women and the level of intra-abdominal hypertension (IAH) in the perioperative period. Taken into account the method of appendectomy: open or laparoscopic appendectomy. The frequency of perioperative complications in pregnant women with acute appendicitis were dependent on the initial intra-abdominal pressure (IAP) and the method of appendectomy. Between the outcome of the operation and the value of IAP revealed a strong positive correlation (r = 0,78). The degree of IAH has been associated with both the severity of inflammation in the abdominal cavity, and with gestational age, which developed acute appendicitis. Since laparoscopy increases the level of IAH, the method itself is a risk factor for adverse outcome operations. The value of IAP can serve as an additional diagnostic criterion for the choice of surgical treatment of acute appendicitis in pregnant women.