Рівень післяопераційних ускладнень при хірургічній патології органів черевної порожнини та порожнини таза в дівчат

Abstract

The frequency of the development of adhesion disease after surgical interventions on the abdominal cavity is 63-93%. In women who have complications, in the form of confirmed adhesion disease, there is infertility and miscarriage, menstrual cycle disorders in 60% of cases. It should be noted that among women with adhesions, 8.02% had ectopic pregnancies. In addition, every fifth woman with adhesions in the abdominal cavity has endometriosis - 3.08% of cases. Postoperative complications in patients operated on for acute appendicitis are 4-15%, and the mortality rate of acute appendicitis is 0.1-10%. Purpose - to analyze the level of postoperative complications in girls operated on for acute surgical pathology of the pelvic organs by laparoscopic or laparotomy methods. Materials and methods. An analysis of the treatment of 297 girls who were undergoing inpatient treatment for surgical pathology of the pelvic organs at the Pediatric Surgery Clinic of National Pirogov Memorial Medical University, Vinnytsia, Ukraine on the basis of the Vinnytsia Regional Pediatric Clinical Hospital of the Vinnytsia Regional Council during 2018-2022. Results. In children who underwent laparoscopic appendectomy, the rate of postoperative complications was 8 times lower compared to open methods. The use of laparoscopic technologies in the treatment of gynecological pathology in girls, in particular, in teenagers, allowed to reduce the number of postoperative complications by 5 times. Conclusions. In general, it should be recommended, according to indications, to introduce into clinical practice laparoscopic methods of diagnosis and treatment of surgical pathology of the abdominal cavity and pelvic cavity. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Informed consent of the children’s parents was obtained for the research. No conflict of interests was declared by the authors.