GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD
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 ma...
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| Format: | Article |
| Language: | English |
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Avicenna Tajik State Medical University
2020-06-01
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| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2020-22-2-196-201 |
| _version_ | 1797798127698182144 |
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| author | SH.A. YUSUPOV A.M. SHAMSIEV ZH.A. SHAMSIEV B.L. DAVRANOV |
| author_facet | SH.A. YUSUPOV A.M. SHAMSIEV ZH.A. SHAMSIEV B.L. DAVRANOV |
| author_sort | SH.A. YUSUPOV |
| collection | DOAJ |
| description | 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.
Conclusion: 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. |
| first_indexed | 2024-03-13T03:59:49Z |
| format | Article |
| id | doaj.art-3d164d773e9743ceb3c90ea9c72d594f |
| institution | Directory Open Access Journal |
| issn | 2074-0581 2959-6327 |
| language | English |
| last_indexed | 2024-03-13T03:59:49Z |
| publishDate | 2020-06-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj.art-3d164d773e9743ceb3c90ea9c72d594f2023-06-21T18:28:48ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272020-06-0122219620110.25005/2074-0581-2020-22-2-196-201GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOODSH.A. YUSUPOV0A.M. SHAMSIEV1ZH.A. SHAMSIEV2B.L. DAVRANOV3Department of Pediatric Surgery, Samarkand State Medical Institute, Samarkand, Republic of UzbekistanDepartment of Pediatric Surgery, Samarkand State Medical Institute, Samarkand, Republic of UzbekistanDepartment of Pediatric Surgery, Anesthesiology and Reanimatology, Faculty of Postgraduate Education, Samarkand State Medical Institute, Samarkand, Republic of UzbekistanDepartment of Pediatric Surgery, Anesthesiology and Reanimatology, Faculty of Postgraduate Education, Samarkand State Medical Institute, Samarkand, Republic of UzbekistanObjective: 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. Conclusion: 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.https://doi.org/10.25005/2074-0581-2020-22-2-196-201girlsappendicular peritonitislong-term resultsreproductive functioninfertility. |
| spellingShingle | SH.A. YUSUPOV A.M. SHAMSIEV ZH.A. SHAMSIEV B.L. DAVRANOV GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD Паёми Сино girls appendicular peritonitis long-term results reproductive function infertility. |
| title | GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD |
| title_full | GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD |
| title_fullStr | GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD |
| title_full_unstemmed | GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD |
| title_short | GYNECOLOGICAL STATUS OF PATIENTS WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD |
| title_sort | gynecological status of patients with the history of diffuse appendicular peritonitis in childhood |
| topic | girls appendicular peritonitis long-term results reproductive function infertility. |
| url | https://doi.org/10.25005/2074-0581-2020-22-2-196-201 |
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