EXPERIENCE OF TREATMENT OF PREGNANT WOMEN WITH ACUTE ABDOMEN

• Published in: Kubanskiĭ nauchnyĭ medit︠s︡inskiĭ vestnik no. 5; pp. 22 - 30
• Main Authors: DURLESHTER, V. M., BABENKO, E. S., DIDIGOV, M. T., AVAKIMYAN, V. A., ALUHANYAN, O. A., SVECHKAR, I. Y., ANTINYAN, K. D.
• Format: Journal Article
• Language: English
• Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 01.11.2017
• Subjects: appendicitis; cholecystitis; intestinal obstruction; pancreatitis; pregnancy
• ISSN: 1608-6228; 2541-9544
• DOI: 10.25207/1608-6228-2017-24-5-22-30

Aim. To summarize the current experience of diagnosis and treatment of pregnant women with acute abdomen.Materials and methods. Analysis of treatment results of 183 pregnant women with acute abdomen in the conditions of two multidisciplinary hospitals in Krasnodar. The most common urgent surgical diseases in pregnant women are acute appendicitis, cholecystitis and its complications, acute pancreatitis, acute intestinal obstruction.Results. Diagnosis of diseases, providing the contingent of patients, is quite difficult, and often takes a long time, significantly worsening the prognosis for both the mother and the fetus. The ultrasound examination of the abdominal cavity in all patients makes it possible to clarify the diagnosis and adjust the treatment tactics. When doubting the diagnosis, it is necessary to perform diagnostic laparoscopy.Conclusion. The use of minimally invasive technologies in the treatment of pregnant women can reduce the frequency of surgical and associated perinatal complications, promote the prolongation of pregnancy, and reduce maternal and perinatal mortality.