LOCAL SORPTION-DEHYDRATION THERAPY OF ACUTE SURGICAL DISEASES OF THE ABDOMINAL BODIES
The article presents the results of evaluating the effectiveness of local sorption-dehydration therapy in the treatment of acute purulent salpingitis. The National Surgery Center analyzed the medical history of the 51st patient who applied the organ-preserving method of surgical treatment of acute salpingitis developed by us using local sorption-dehydration therapy. The age of the women we operated on ranged from 15 to 42 years and averaged 26.4 ± 3.5 years. All women were of reproductive age, of which 22 (41.5 %) women did not have children. All patients who underwent complex treatment using local sorption-dehydration therapy upon admission to the hospital complained of pain in the lower abdomen of a different nature. An increase in body temperature was noted in 88.2 % of patients, spotting from the genitals in 29.4 %, impaired function of neighboring organs in every fifth patient, including impaired urinary tract function in 5.9 %, and intestines in 9 , 8 % of women. These data indicate a significant prescription of the inflammatory process. As it turned out from the anamnesis, 76.5 % of women suffered from chronic inflammatory processes of the genital organs. A disease duration of more than 5 years has been established in 78.4 % of patients. Infertility among the examined patients of reproductive age was observed in every fourth woman. Studies have shown that a differentiated choice of the volume of surgical intervention, the formation according to strict indications of an external salpingostomy followed by local sorption-dehydration therapy of purulent salpingitis, adequate drainage of the abdominal cavity, appropriate antibacterial and intensive therapy lead to an adequate cure for this category of patients and a real hope of pregnancy.