UDK: 616.346.2-002, 618.2/3-089
.V. Turbin1, 2, .F. Cherkasov1, D. . Cherkasov1, V.Yu. Lesovaya2 V. . Bondarenko1,2, S.G. Melikova1, V.G. Anufrieva1
1ФГБОУ ВО «Ростовский государственный медицинский университет» Министерства здравоохранения Российской Федерации, г. Ростов-на-Дону; 2 МБУЗ «Г
Acute surgical pathology during pregnancy has a number of features, ignorance of which can lead to serious diagnostic errors and to the choice of the wrong treatment tactics. Materials and methods. The experience of management of 68 pregnant patients diagnosed with «acute abdomen» is presented. The gestation period ranged from 7 to 32 weeks. Results. Laparoscopy was performed in 41 cases. Among 36 patients with a clinic of acute appendicitis during laparoscopy, 29 had a confirmed diagnosis (28 patients underwent laparoscopic appendectomy, in one case with a gestational age of 30 weeks appendectomy was performed using the Volkovich – Dyakonov surgical access). One patient was diagnosed with a torsion of the fatty suspension of the large intestine, its video-laparoscopic resection was performed. In 6 cases, no surgical pathology was revealed. In 5 patients with acute intestinal obstruction caused by an adhesive process, laparoscopic dissection of the adhesions was performed. In all cases, there were no postoperative complications. Conclusions. Laparoscopy during pregnancy allows timely verification of surgical pathology, avoid diagnostic errors, and in most cases, perform the surgical operation minimally invasive.
laparoscopy, acute abdomen, acute appendicitis, рregnancy
Турбин Михаил Васильевич – к. м. н., заведующий хирургическим отделением МБУЗ «Городская больница скорой медицинской помощи», ассистент кафедры хирургических болезней № 2, ФГБОУ ВО «Ростовский государственный медицинский университет Минздрава России», e