REPRODUCTIVE HEALTH AFTER ENDOSCOPIC OPERATIONS

In the second half of the 20th century, there was a steady upward trend in the incidence of ectopic pregnancy around the world, especially among unborn teens and young women. According to epidemiological studies, in industrialized countries, the average frequency of ectopic pregnancy is 1.2–1.4% in relation to the total number of pregnancies and 0.8–2.4%, compared with births.

Objective. Develop methods for restoring fertility in women undergoing surgery for ectopic pregnancy.

Materials and methods. A total of 80 patients were diagnosed with progressive tubal pregnancy and surgical treatment using laparoscopic access was performed. Subsequently, the patients examined were divided into two groups. The main group included 40 women, whom the treatment and post-operative period was conducted according to our proposed methodology. The comparison group consisted of 40 women who had undergone radical surgical treatment and conducted a postoperative period according to traditional patterns. The control group included 20 practically healthy women.

In article the convincing data testifying to efficiency of the scheme offered by authors of conducting of the postoperative period at women transferred laparoscoping operation concerning progressing trumpet pregnancy are cited. Studies show that the main risk factors for the development of pregnancy in the fallopian tube are chronic inflammatory diseases of the internal genital organs, artificial abortions, dyshormonal disorders, surgical interventions on the organs of the abdominal cavity and pelvic organs in the past. Determination of the level of acetylated sulfadimezin and specific markers of collagen in serum in women with tubal pregnancy is an important criterion for the prognostic and diagnostic marker for the development of the adhesive process of the pelvis. The proposed postoperative follow-up technique for women undergoing surgical treatment for progressive tubal pregnancy has significantly reduced the risk of postoperative infectious complications and the likelihood of developing a adhesive process that greatly improves reproductive prognosis and maintains the fertility of this contingent of women.