ANESTHETIC TACTICS IN THE PERIOPERATIVE MANAGEMENT OF A PATIENT WITH DEEP INFILTRATING ENDOMETRIOSIS AND GUILLAIN-BARRÉ SYNDROME

A 34-year-old woman with chronic pelvic pain consulted a gynecologist; data from the history, course of the disease, and instrumental studies made it possible to establish the diagnosis of endometriosis. The patient has reproductive plans, agrees to surgical treatment of the pathology, but her state of health is complicated by a comorbid pathology - Guillain-Barre syndrome (2019) in the remission stage, which limits the possibilities of anesthesiological support for surgical intervention. The council of a multidisciplinary team of specialists consisting of an operating gynecologist, a neurologist and an anesthesiologist, based on the patient’s physical data, her wishes, and laboratory-instrumental studies, chooses the most optimal treatment tactics - laparoscopic intervention with the use of deep sedation and epidural analgesia.