THE ROLE OF ENDOSCOPIC SURGERY IN THE TREATMENT OF PATIENTS WITH TUBULAR PREGNANCY
Keywords:
ectopic pregnancy, diagnosis, treatment endosurgical, treatment of traditional, indications, contraindications, complications The problem of choosing a method of treating ectopic pregnancy is due to the prevalence of disease and the introduction of modern medical Technologies in surgical practice.Abstract
The article has a comparative assessment of the informativeness of the methods for diagnosing ectopic pregnancy, the results of treatment 133 patients with progressive tubular pregnancy, pipe abortion and a rupture of the fallopian tube when using laparoscopy (88 patients) and laparotomy (45 patients). Conditions for endosurgical intervention are determined. Illuminated errors and complications, reasons for the transition from laparoscopic access to the traditional. Paths of eliminating errors and complications are shown. The advantages of surgical laparoscopy before traditional intervention are shown. The role of the use of methotrexate for the prevention of trophoblane's persistence with organ-having laparoscopic interventions was estimated. Formulated testimony and contraindications for the organ-bearing approach in the treatment of patients. The need for presence in the team of duty doctors of a qualified surgeon, which owns endoscopic surgery methods.
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