Obstetrics and Gynecology

doi: 10.25005/2074-0581-2019-21-3-374-379
REPRODUCTIVE FUNCTION OF WOMEN WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD

A.M. Shamsiev, Sh.A. Yusupov

Department of Pediatric Surgery, Samarkand State Medical Institute, Samarkand, Republic of Uzbekistan

Objective: To study the reproductive function of women in the long-term period after surgical treatment of diffuse appendicular peritonitis (DAP) in childhood.

Methods: From the 163 operated girls fertility function was studied in 115 in the long-term period, including 62 patients in the control group and 53 in the main group. In the main group, intra-operative abdominal ozone therapy was used to prevent adhesive process; introduction of ozone-oxygen mixture through micro-irrigator and ultra-phonophoresis or electrophoresis on the anterior abdominal wall in the early postoperative period.

Results: It has been established that the history of DAP in childhood was not reliably affected the cyclicality of the menstrual cycle in a long-term period, although there was a decrease in the frequency of this indicator to the main group to 15.1% compared to the control group – 27.4% (p>0.05). In relation for painful menstruation, the difference between groups was statistically significant (18.9% vs. 38.7%, p<0.05). In addition, in the control group more than twice as often cases of ectopic pregnancies, miscarriages and premature births were registered (48.4% vs. 22.6%, p<0.05) and infertility was more common (29.0% vs. 13.2%, р<0.05). Of the 25 women with infertility who suffered from DAP in childhood, 23 were underwent hysterosalpingography. At the same time, against the background of the normal hormonal status tubal-peritoneal form of infertility was diagnosed associated with the adhesive process in the small pelvis. At 11 (47.8%) observations occlusion of fallopian tubes occurred, and in 10 of them the process was right-handed

Conclusions: Improving the comprehensive treatment of children with DAP has significantly reduced its negative impact on the reproductive system of girls.

Keywords: Appendicular peritonitis, complications, girls, reproductive function, intra-operative ozone therapy, tubal infertility.

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Authors informations:

Shamsiev Azamat Mukhitdinovich Doctor of Medical Sciences, Professor of the Department of Pediatric Surgery, Rector of the Samarkand State Medical Institute
ORCID ID: 0000-0001-9282-5795
E-mail: samgmi@mail.ru

Yusupov Shukhrat Abdurasulovich Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery, Vice-Rector for Science and Innovation, Samarkand State Medical Institute
ORCID: 0000-0001-7259-028X
E-mail: shuchrat_66@mail.ru

Address for correspondence:

Yusupov Shukhrat Abdurasulovich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery, Vice-Rector for Science and Innovation, Samarkand State Medical Institute

140100, Republic of Uzbekistan, Samarkand, 18 Amir Temur str

Tel.: + 998 (915) 481613

E-mail: shuchrat_66@mail.ru

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