PREDIСTING OF SURGICAL TREATMENT OF PURULENT INFLAMMATORY DISEASES OF UTERINE APPENDAGES
Keywords:
peritonitis, inflammatory disease of the uterine appendages, laparotomy, laparoscopy, predictingAbstract
Research objective is studying risk factors influencing outcome of surgical treatment of patients aged 14–72 with purulent inflammatory disease of uterine appendages hospitalized for treatment to inpatient gynecology department following emergency visit. There were 706 patients with different clinical forms — patients with diffuse peritonitis (137), and those with localized peritonitis having tubo-ovarian tumors of uterine appendages (411), and patients with pelvic peritonitis having purulent salpingitis (158) underwent laparoscopic surgery or laparotomy. The average age of patients varies as follows 34.10±4.18. Research results allowed determining risk factors predicting with high percentage of certainty outcome of surgical treatment: 1) sanitation surgeries — 99.3%; 2) hysterectomy of uterine and appendages (bilateral) — 94.7%; 3) removal of appendages (bilateral) — 98.7%; 4) removal of uterine tube — 98.4%. In all coupling coefficient approximates to 1.
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