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№3' 2017
OBSTETRICS AND GYNECOLOGYInternational Medical Journal, Vol. 23., Iss. 3, 2017, P. 44−48.
PERSISTENT TUBAL PREGNANCY REHABILITATION AFTER ORGAN-PRESERVING SURGERY USING ANTI-ADHESION BARRIERS
Kharkiv Medical Academy of Postgraduate Education, Ukraine
To determine the most effective complex treatment for patients with progressive tubal pregnancy, clinical trials were conducted. A comparative evaluation of the effect of surgical organ−preserving treatment of tubal pregnancy using radio wave energy, anti−adhesion polyethylene oxide drugs with carboxymethyl cellulose and rehabilitation techniques: physiotherapy including intrauterine electrophoresis and stimulation of fallopian tubes by the method of V. M. Strugatsky at al. In the postoperative period, as well as additional administration of placenta cryoextraction. The reproductive function of the patients was studied one and a half years after the end of the rehabilitation course. The results of treatment of clinical groups were compared with the indicators of the pregnancy onset (uterine and ectopic) in healthy women. The results of this study allow us to conclude that the emergence of a progressive tubal pregnancy is facilitated by the presence in the history of frequent inflammatory diseases of female genital organs, postpartum purulent−septic diseases, the presence of endometriosis, and previous gynecological and surgical operations. The use of radio wave energy in the complex of treatment for patients with progressive tubal pregnancy, antiadhesion drug PEO with SMS and CP in the postoperative period allows reliable increase in the number of patients with restored reproductive function and reduction of the frequency of recurrent tubal pregnancy development.
Key words: tubal pregnancy, laparoscopic treatment, rehabilitation, cryoextract of the placenta.