Diagnostic and surgical tactics for emergency pathologies of the abdominal and genital organs

Abstract

Aim. To evaluate the role of video laparoscopy in the diagnosis and treatment of concomitant urgent pathologies of the abdominal organs and genitals.

Material and methods. The study is based on an analysis of the treatment of 240 women with combined acute pathologies of abdominal organs and genitalia, who were admitted for the period 2012 to 2020. According to the frequency of the combination of acute pathologies of abdominal organs and genitalia, acute appendicitis and various complicated forms of cysts of the right ovary prevailed, which amounted to 33.3% (n=80) of patients. Along with this, there were such combinations as acute calculous cholecystitis (ACC) + uterine fibroids - 20.0%, ACC + ovarian cyst - 18.3%, complicated forms of uterine fibroids + hernia of the anterior abdominal wall - 13.7%, complicated forms of ovarian cyst + hernia of the anterior abdominal wall - 7.9%, complicated forms of ovarian cyst + adhesive disease - 6.7%.

Results. In certain cases (19.2%), video laparoscopy initially turned out to be diagnostic, and in the remaining 80.8%, it was purposefully performed for surgical correction. Postoperative complications in women of the main and comparison groups were 7.5% and 13.3%, respectively. Postoperative bed-day continued 4.8±1.7.

Conclusion. Videolaparoscopy is an important way to determine diagnostic tactics, which can be easily transformed into a therapeutic one.