[The prevention of the adhesive process after surgical interventions in gynecological patients in the reproductive period].
Dynamic laparoscopy making use of special tubes was carried out in 149 patients (30 with acute inflammatory diseases of the uterine tubes, 80 following reconstructive surgery on the tubes suffering from tuboperitoneal sterility, 9 operated on the internal genitals). Repeated laparoscopic examinations were carried out in the course of 14 days, every 2-3 days. The course of the postoperative period was assessed by the presence of adhesions, hyperemia, edema, and exudation. Adhesions were separated, during mixtures were delivered including antibiotics, corticosteroids, enzymes, rheopolygluquins; chromohydrotubations was carried out. Dynamic laparoscopy in patients with inflammatory diseases of the internal genitals helped detect positive results 2-3 days after intensive care was started and prevent adhesions. This method appears to be particularly valuable if used after inflammatory processes and interventions on the internal genitals in young, more so in nulliparous women planning to have children in future.
Savel'eva
G M
GM
Boginskaia
L N
LN
Breusenko
V G
VG
Tangieva
Z S
ZS
Shtyrov
S V
SV
Evseev
A A
AA
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007247:Infertility, Female / Q000150:complications / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D000292:Pelvic Inflammatory Disease / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications / Q000601:surgery*; D013997:Time Factors; D000267:Tissue Adhesions / Q000517:prevention & control
Profilaktiki spaechnogo protsessa posle khirurgicheskikh vmeshatel'stv u ginekologicheskikh bol'nykh v reproduktivnom periode.