Синдром системного воспалительного ответа в оперативной гинекологии

The clinic and laboratory examination on definition of character and stage of the systemic inflammatory response (SIR) in a postoperative period for development of prime and safe methods of its modulation at gynaecology patients is carried out. The SIR`s displays was studied at the patients who had traditional laparotomic operations. The patients in a subgroup I.1 carried out not optimized anesthetic manual and preventive antibacterial therapy in a postoperative period; in a subgroup I.2 not optimized anesthetic manual and massive antibacterial therapy; in a subgroup I.3 optimized anesthetic manual and preventive antibacterial therapy; in a subgroup I.4 optimized anesthetic manual and massive antibacterial therapy. For patients in a group II the similar operations on appendages of a uterus were yielded, but it appeared by a modern laparoscopic method and not optimized anesthetic manual. In group III the currettages of the cavity uterus were yielded at pregnancy 4-12 weeks and it appeared not optimized anesthetic manual. The attributes of SIR were observed only in to group I. Statistically significant differences of explored indexes in subgroups I.1 and I.2, and as in subgroups I.3 and I.4 did not observe. The massive antibacterial therapy spent for subgroups I.2 and I.4 on indexes SIR did not influence. Optimized anesthetic manual, spent for subgroups I.3 and I.4, reduced of SIR displays. In groups II and III the operative measure at not optimized anesthetic manual was not accompanied by occurrence of SIR attributes. The apparent of SIR attributes fell into of its second stage and were answer-back response of an organism of the patient to a surgical stress.