Obstetrics and Gynecology

doi: 10.25005/2074-0581-2020-22-2-196-201
GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD

Sh.A. Yusupov1, A.M. Shamsiev1, Zh.A. Shamsiev2, B.L. Davranov2

1Department of Pediatric Surgery, Samarkand State Medical Institute, Samarkand, Republic of Uzbekistan
2Department of Pediatric Surgery, Anesthesiology and Reanimatology, Faculty of Postgraduate Education, Samarkand State Medical Institute, Samarkand, Republic of Uzbekistan

Objective: To study the state of the patient’s gynaecological status, who sustained appendicular peritonitis in childhood

Methods: There were 154 girls and women who sustained diffuse appendicular peritonitis between 3 to 15 years old. Patients were operated between 1998 to 2014, contained the main group (n=104; 67.5%). 50 (32.5%) patients operated between 1990 to 1997 years were included to the control group. In patients of the main group, a complex of anti-adhesive measures was carried out according to the technique developed by authors. Patients of control group were operated according to the traditional, generally accepted approaches. Catamnesis data were analyzed between 2 and 15 years after surgical interventions.

Results: In the long-term period, the 154 patients have conducted a comprehensive diagnostic of the reproductive function. Normal regular menstruation was observed in 120 (81.1%) patients, in 82 (83.7%) of the main group, and 38 (76%) – in the control group. The others have reported various violations of menstrual functions: (dis-, oligo- and polymenorrhea). In the ultrasound, cystic changes in ovaries show 24.4% in the control group; and in 17.5% in the main group; pelvic adhesions in 26.7% and 15%, respectively. 42 female of the control group and 24 of the main group underwent echohysterosalpingoscopy and hysterosalpingography. Different forms of the fallopian tubes abnormalities in the control group were 50%, whereas the patients of the main group have 29.2%. The luteinizing hormone level was below in the main group. The level of progesterone and estradiol was also lower in the main group than in the control group.

Conclusions: Analysis of the causes of reproductive system disorders showed that the history of appendicular peritonitis in childhood, is possibly one of the factors in the development of tubal and peritoneal forms of infertility in the long-term period.

Keywords: Girls, appendicular peritonitis, long-term results, reproductive function , infertility.

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Authors informations:

Yusupov Shukhrat Abdurasulovich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery, Samarkand State Medical Institute
ORCID ID: 0000-0001-7259-028X
SPIN: 3576-7390
Author ID: 554847
E-mail: shuchrat_66@mail.ru

Shamsiev Azamat Mukhitdinovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of Pediatric Surgery, Samarkand State Medical Institute
Researcher ID: AAB-4891-2019
Scopus ID: 57204509652
ORCID ID: 0000-0002-3628-9825
E-mail: prof.ashamsiev@mail.ru

Shamsiev Dzhamshed Azamatovich
Doctor of Medical Sciences, Full Professor, Head of the Department of Pediatric Surgery, Anesthesiology and Intensive Care, Faculty of Postgraduate Education, Samarkand State Medical Institute
Researcher ID: AAM-8222-2020
Scopus ID: 57195308203
ORCID ID: 0000-0003-3751-2352
E-mail: shamsiyevja@mail.ru

Davranov Bоbur Latipovich
Candidate of Medical Sciences, Assistant of the Department of Pediatric Surgery, Anesthesiology and Intensive Care, Faculty of Postgraduate Education, Samarkand State Medical Institute
ORCID ID: 0000-0002-6411-2920
Author ID: 15871812
SPIN: 7740-7311
E-mail: davranovbobir@gmail.com

Information about the source of support in the form of grants, equipment, and drugs

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflict of interest: No conflict

Address for correspondence:

Yusupov Shukhrat Abdurasulovich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Pediatric Surgery, Samarkand State Medical Institute

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

Tel.: + 998 (915) 481613

E-mail: shuchrat_66@mail.ru

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