HEALTH OF WOMAN. 2020.3(149): 64-70; doi 10.15574/HW.2020.149.64
Boyko V. I., Terekhov V. A.
Medical Institute of Sumy State University MES of Ukraine

Diagnosis and treatment of acute surgical diseases in gynecology, despite the modern achievements of medical science, has been and remains a difficult and responsible task. In urgent situations, there is always a danger of operating the patient when it was not necessary, or viewing the acute surgical process with prolonged observation, which contributes to the development of complications and even death of the patient. Often, not only health, but also the woman’s life depends on how quickly and correctly the doctor will orient in the situation and apply the right organizational and medical measures.
The development of endoscopic technology has allowed us to go from a simple visual examination of the abdominal cavity and pelvic organs to complex surgical interventions without an abdominal incision, and in emergency conditions, in case of acute abdominal pathology, in most cases, resolve diagnostic doubts.
The article describes the advantages and disadvantages of endoscopic treatment of the most common urgent gynecological pathologies, especially the postoperative management of patients, rehabilitation and preventive measures to restore their reproductive health.
Key words: urgent gynecological conditions, ectopic pregnancy, laparotomy, laparoscopy, semi-operative management, rehabilitation, prevention.
REFERENCES

1. Shafranskyi VV, Slabkyi HO, Kachala LO. 2016. Osnovy Yevropeiskoi polityky i stratehiia dlia KhKhI stolittia: stratehichne kerivnytstvo v interesakh zdorovia. Ekonomika i pravo okhorony zdorovia 2(4):72-5.

2. Slabkyi HO. 2016. Systema hromadskoho zdorovia: bachennia Vsesvitnoi orhanizatsii okhorony zdorovia. Zhurnal zastupnyka holovnoho likaria 5(16):51-61.

3. Veropotvelyan PN. 2017. Reproduktivnoe zdorove zhenschiny – odna iz vazhneyshih problem gosudarstva. Meditsinskie aspekty zdorovya zhenschiny 3:34-46.

4. Shchorichna dopovid pro stan zdorovia naselennia, sanitarno-epidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy za 2017 rik. MOZ Ukrainy. DU UISD MOZ Ukrainy. K, MVTs Medinform. 2018: 458.

5. Stepurko TH, Semyhina TV, Barska YuH ta in. 2018. Indeks zdorovia. Ukraina-2018: Rezultaty zahalnonatsionalnoho doslidzhennia. K:175.

6. Zaklady okhorony zdorovia ta zakhvoriuvanist naselennia Ukrainy u 2017 rotsi. Statystychnyi zbirnyk. Derzhavna sluzhba statystyky Ukrainy. K:109: 2018.

7. Rohach IM, Keretsman AO, Hadzheha II. 2019. Ohliad dynamiky demohrafichnoi sytuatsii v Ukraini ta yii rehionakh na foni krain ES ta svitu: problemy ta perspektyvy. Problemy klinichnoi pediatrii 2(44):49-56.

8. Statystyka Naselennia Ukrainy za 2018 rik. Demohrafichnyi shchorichnyk. 2019. Derzhavna sluzhba statystyky Ukrainy:188. http://database.ukrcensus.gov.ua/PXWEB2007/ukr/publ_new1/2019/zb_ukr_2018.pdf

9. Howard JW, Jones HW, Wentz AC, Burnett LS. 2017. Novak’s textbook of gynecology. Baltimore: Williams & Wilkins. 919.

10. Fomin PD, Usenko OIu, Bereznytskyi YaS. 2018. Nevidkladna khirurhiia orhaniv cherevnoi porozhnyny (standarty orhanizatsii ta profesiino oriientovani alhorytmy nadannia medychnoi dopomohy). K, Biblioteka Zdorovia Ukrainy:354.

11. Krasnopolskiy VI, Buyanova SN, Schukina NA, Popov AA. 2017. Operativnaya ginekologiya. M, MEDpress-inform.:320.

12. Zozulia IS. 2012. Medytsyna nevidkladnykh staniv: shvydka i nevidkladna medychna dopomoha. K, VSV Medytsyna:728.

13. Fan SX, Wang FM, Lin LS, Song YF. 2017. Re-treatments of recurrence after pelvic floor repair surgery. Zhonghua Fu Chan Ke Za Zhi. 52(6):374-8.

14. Vdovichenko YuP, Gorbunova OV, Voloshin AA. 2015. Kompleksnaya predoperatsionnaya podgotovka i posleoperatsionnaya profilaktika pri laparoskopicheskih operatsiyah v ginekologii. Zdorove zhenschiny 4(24):157-8.

15. Kondratiuk VK. 2015. Instrumentalni metody doslidzhennia v hinekolohii.  Medytsynskye aspektы zdorovia zhenshchiny 4(90):10-19.

16. Parashchuk YuS, Hryshchenko MH, Parashchuk VIu, Safonov RA. 2017. Operatyvna ginekologiia: navch. posibnyk. Kharkiv, KhNMU:132.

17. Frejka T, Gietel-Basten S. 2016. Fertility and Family Policies in Central and Eastern Europe after 1990. Comparative Population Studies. 41:3-56.

18. Tracking Universal Health Coverage: 2017 Global Monitoring Report. 2017. WHO and the International Bank for Reconstruction and Development 88.

19. Dankovich NA, Vorobey-Vihovskaya VN. 2013. Prichinyi i formyi besplodiya. Sovremennyie vozmozhnosti diagnostiki i lecheniya. Zdorove zhenschiny 3:192-7.

20. Rana P, Kazmi I, Singh R et al. 2013. Ectopic pregnancy: a review. Arch. Gynecol. Obstet. 288(4):747-57. https://doi.org/10.1007/s00404-013-2929-2; PMid:23793551

21. Ridgeway BM, Cadish L. 2017. Hysteropexy: Evidence and Insights. Clin Obstet Gynecol. 60(2):312-23. https://doi.org/10.1097/GRF.0000000000000281; PMid:28263199

22. Bulletti C, De Ziegler D, Polli V. 2017. The role of leiomyomas in infertility. J. Am. Assoc. Gynecol. Laparosc. 6(4):441-5. https://doi.org/10.1016/S1074-3804(99)80008-5

23. Daraiv E, Еchaud H, Benifla JL et al. 2015. Fertility after laparoseopic myomectomy: Preliminary results. Hum. Reprod. 12:1931-4. https://doi.org/10.1093/humrep/12.9.1931; PMid:9363709

24. Zafrakas M, Grimbizis G, Timologou A, Tarlatzis BC. 2014. Endometriosis and ovarian cancer risk: a systematic review of epidemiological studies. Front. Surg. 1:14-20. https://doi.org/10.3389/fsurg.2014.00014; PMid:25593938 PMCid:PMC4286968

25. Ishchak OM. 2018. Vplyv riznykh variantiv operatyvnoho likuvannia apopleksii yaiechnyka na stan ovarialnoho rezervu. Zdorove zhenshchynы 4(130):75-7.

26. Ishchak OM, Vdovychenko YuP. 2018. Vplyv apopleksii yaiechnyka na reproduktyvne zdorovia zhinok. Aktualni pytannia pediatrii, akusherstva ta hinekolohii 2:48-51. https://doi.org/10.11603/24116-4944.2018.2.9215

27. Markin LB, Martyn TIu. 2014. Laparoskopichni vtruchannia v hinekolohichnii praktytsi. Dhorobych, Posvit:220.

28. Sukhanova AA, Yehorov MIu. 2016. Suchasni pryntsypy likuvannia dobroiakisnykh i pohranychnykh pukhlyn yaiechnykiv ta mozhlyvosti profilaktyky yikhnikh retsydyviv (Ohliad literatury). 4(110):56-60.

29. Fortner RT, Ose J, Merritt MA et al. 2015. Reproductive and hormone-related risk factors for epithelial ovarian cancer by histologic pathways, invasiveness and histologic subtypes: Results from the EPIC cohort. Int J Cancer. 137(5):1196-208. https://doi.org/10.1002/ijc.29471; PMid:25656413 PMCid:PMC6284794

30. Darai E, Fauvet R, Uzan C, Gouy S et al. 2013. Fertility and borderline ovarian tumor: a systematic review of conservative management, risk of recurrence and alternative options. Hum Reprod Update. 19(2):151-66. https://doi.org/10.1093/humupd/dms047; PMid:23242913

31. Ishchak OM. 2017. Naukove obgruntuvannia reabilitatsiinoi terapii pislia apopleksii yaiechnyka. Zdorove zhenshchynы 10(126):119-21. https://doi.org/10.15574/HW.2017.126.119

32. Romanova AF, Pisotska LA, Dziak HV ta in. 2012. Nevidkladni stany pry anemichnomu ta hemorahichnomu syndromakh: Navchalnyi posibnyk. Dnipropetrovsk:134.

33. Olaf Istre. 2017. Mini-invazivnaya ginekologicheskaya hirurgiya. per. s ang. pod obsch. red. Radzinskogo VE, Duhina AO. M, GEOTAR-Mediya:288.

34. Miller CE. 2015. Myomectomy. Comparison of open and laparoscopic techniques. Obstet Gynecol Clin North Am. 27(2):407-20. https://doi.org/10.1016/S0889-8545(00)80031-5

35. Dobrohotova YuE, Ibragimova DM, Sapryikina LV. 2018. Mioma matki. M, GEOTAR-Media:96.

36. Milani R, Frigerio M, Spelzini F, Manodoro S. 2017. Transvaginal uterosacral ligament hysteropexy: a video tutorial. Int Urogynecol J. 28(5):789-91. https://doi.org/10.1007/s00192-016-3222-2; PMid:27942792

37. Minina OIu. 2017. Suchasni endoskopichni tekhnolohii u diahnostytsi ta likuvanni poiednanoi patolohii matky u zhinok starshoho viku. Zbirnyk naukovykh prats spivrobitnykiv NMAPO imeni P.L. Shupyka. Kyiv. 28(2):74-9.

38. Polishchuk TP. 2017. Poiednannia miomy matky ta adenomiozu: taktyka hirurgichnogo likuvannia. Zbirnyk naukovyh prats spivrobitnykiv NMAPO imeni P.L. Shupyka. Kyiv. 28(1):173-8.

39. Vdovychenko YuP, Hnyp IP, Vorobii VD. 2015. Optymizatsiia diahnostyky y endoskopichnoho likuvannia adenomiozu i porushen reproduktyvnoi funktsii. Zdorove zhenshchynы 6(102):149-50.

40. Holianovskyi OV, Budchenko MA. 2017. Optymizatsiia tekhniky vykonannia konservatyvnoi miomektomii u zhinok reproduktyvnoho viku. Zbirnyk naukovykh prats Asotsiatsii akusheriv-hinekolohiv Ukrainy. Rivne, PP Estero. 2(40):75-80.

41. Tatum JM, Samakar K, Bowdish ME, Mack WJ et al. 2018. Videoesophagography versus Endoscopy for Prediction of Intraoperative Hiatal Hernia Size. Am Surg. 84(3):387-91. https://doi.org/10.1177/000313481808400322; PMid:29559053

42. Yılmaz EM, Soyder A, Aksu M, Bozdağ AD et al. 2017. Contribution of an educational video to surgical education in laparoscopic appendectomy. Turk J Surg. 33(4):237-42. https://doi.org/10.5152/turkjsurg.2017.3610; PMid:29260126 PMCid:PMC5731557

43. Hromova AM, Martynenko VB, Tarasenko KV, Nesterenko LA. 2017. Diahnostyka ta operatyvna laparoskopiia v hinekolohii. Zbirnyk naukovykh prats Asotsiatsii akusheriv-hinekolohiv Ukrainy. Rivne, PP Estero. 2(40):109-12.

44. Havryliuk HM, Makarchuk OM. 2016. Posthisterektomichni porushennia, yikhnia diahnostyka ta profilaktyka. Zdorove zhenshchynу 7(113):52-4.

45. Gasparov AS, Hachatryan AK. 2013. Intraoperatsionnaya i laparoskopicheskaya ehografiya v reproduktivnoy ginekologii: prakticheskoe posobie. M, MIA:72.

46. Bitsadze VO, Makatsariya AD, Strizhakova AN i dr. 2019. Zhizneugrozhayuschie sostoyaniya v akusherstve i perinatologii. M, Medinformagentstvo:672.

47. Henyk NI, Lasytchuk OM, Pakharenko LV ta in. 2016. Profilaktyka pisliaoperatsiinykh hniino-zapalnykh uskladnen u hinekolohii. Aktualni pytannia pediatrii, akusherstva ta hinekolohii 2:54-6. https://doi.org/10.11603/24116-4944.2016.2.6860

48. Jacobsen LJ. 2017. Results of conventional and hysteroscopic surgery. Human Reproduction. 12:1376-81. https://doi.org/10.1093/oxfordjournals.humrep.a019589; PMid:9262260

49. Yuzko OM, Yuzko TA. 2015. Laparoskopiia v diahnostytsi ta likuvanni zhinochoi bezplidnosti. Klinichna anatomiia ta operatyvna hirurgiia 2:35-6.

50. Zozulia IS, Bobrova VI, Roshchin HH ta in. 2017. Medytsyna nevidkladnykh staniv: ekstrena (shvydka) medychna dopomoha: pidruchnyk. 3-ye vyd., perer. i dop. K, VSV Medytsyna:960.