Comparative analysis of the effectiveness of simultaneous laparoscopic operations in acute appendicitis accompanied by various gynecological pathologies

Abstract

Introduction. According to the World Health Organization 20 to 30% of gynecological pathologies in women are assosiatedwith surgical pathology and these challenge surgeons and gynecologists to correct these pathologiessimultaneously. The study aimed to evaluation of effectiveness of simultaneous laparoscopic operations in acute appendicitis accompanied by various gynecological pathologies Material and Methods. Total 88 patients were involved in the study. Of these, 55 patients underwent laparoscopic surgery - appendectomy (A control subgroup) and 33 simultan surgeries (core B subgroups). Diagnosis of acute abdomenal in gynecological patients, including diagnostic laparoscopy, was performed on the basis of algorithm. Comparison of arterial pressure, heart rate, intensity of pain and patients' activation period was studied in control and main subgroups during surgery and postoperative period. Results. Comparative analysis has showed that the statistical difference between these parameters in patients with isolated appendectomy and simultaneous surgery is almost inaccurate and simultaneous operation may be adequate, despite the complex effects of some negative factors of laparoscopy.