Laparoscopic surgery in diagnostics and treatment of sharp inflammatory diseases of appendages of the uterus

V. V. Strizheletsky, Т. Y. Zhemchuzhuzhina, А. N. Luchkin, Е. I. Kahyany, А. N. Tayts
In: Journal of obstetrics and women's diseases · 2005 · vol. 54(5S) , pp. 30 · doi:10.17816/jowd87204 · W3214686922
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This review analyzes the outcomes of 528 urgent laparoscopic operations performed between 1995 and 2004 on women of childbearing age suffering from acute inflammatory diseases of the uterine appendages. The study primarily addresses conditions such as acute salpingo-oophoritis, pyosalpinx, and pelvic peritonitis, detailing procedures like adhesiolysis, salpingectomy, and abscess evacuation. The authors conclude that laparoscopy provides adequate operative management and thorough abdominal sanitation, serving as the method of choice for preventing severe postoperative complications in these infectious cases. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Introduction. Acute inflammatory diseases of uterine appendages are today medical problem that significantly affect the health of women of child-bearing age. In recent years the number of diseases of this group has increased.
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Abstract

Introduction. Acute inflammatory diseases of uterine appendages are today medical problem that significantly affect the health of women of child-bearing age. In recent years the number of diseases of this group has increased. Full Text Introduction. Acute inflammatory diseases of uterine appendages are today medical problem that significantly affect the health of women of child-bearing age. In recent years the number of diseases of this group has increased.

Material

and methods. We have analyzed the outcomes of treatment of women at the child-bearing age with the acute inflammatory pathology of uterine appendages that underwent urgent laparoscopic surgery during 1995-2004 years. During this period we performed 528 laparoscopic operations in patients with these pathologic conditions. Most often diagnosis analyzed in our trial were acute salpingo-oophoritis and pyosalphingo-oophoritis complicated by a pelvioperitonitis (342) and formation of encystments of uterine appendages (pyosalpings, pyo-ovarium) (186 cases). Results. In our trial we observed such laparoscopic operations as: adhesiolisis -127, salpingo-oophoriolisis - 196, salpingostomy - 14, salpingoectomy - 86, evacuation of pus from ovary -15, oophorectomy - 34, evacuation of salpingo-ovarial abscesses - 24, hemi-oophor- and hemi-salpingectomy - 56. 16 operated patients that had been operated for salpingo-ovarial tumors needed to be operated laparoscopicaly for elective sanitations of abdominal cavity and monitoring of recovery process. Conclusions. Our experience have shown that application of laparoscopic surgery in management of patients with acute inflammatory diseases of uterine appendages (salpingitis, adnexitis etc.) provides the adequate operative management and thorough sanitation of abdominal cavity. During the postoperative period it is the method of choice for elective (repeated) sanitations of abdominal cavity as well as for prevention of severe postoperative complications. About the authors V. V. Strizheletsky Saint-Petersburg State Pediatric Medical Academy; City Center for Endovideosurgery of the Elizabethan Hospital Author for correspondence. Email: [email protected] Department of obstetrics and gynecology Russian Federation, Saint-Petersburg; Saint-PetersburgТ. Y. Zhemchuzhuzhina Saint-Petersburg State Pediatric Medical Academy; City Center for Endovideosurgery of the Elizabethan Hospital Email: [email protected] Department of obstetrics and gynecology Russian Federation, Saint-Petersburg; Saint-PetersburgА. N. Luchkin Saint-Petersburg State Pediatric Medical Academy; City Center for Endovideosurgery of the Elizabethan Hospital Email: [email protected] Department of obstetrics and gynecology Russian Federation, Saint-Petersburg; Saint-PetersburgЕ. I. Kahyany Saint-Petersburg State Pediatric Medical Academy; City Center for Endovideosurgery of the Elizabethan Hospital Email: [email protected] Department of obstetrics and gynecology Russian Federation, Saint-Petersburg; Saint-PetersburgА. N. Tayts Saint-Petersburg State Pediatric Medical Academy; City Center for Endovideosurgery of the Elizabethan Hospital Email: [email protected] Department of obstetrics and gynecology Russian Federation, Saint-Petersburg; Saint-Petersburg

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