REPRODUCTIVE FUNCTION OF WOMEN WITH THE HISTORY OF DIFFUSE APPENDICULAR PERITONITIS IN CHILDHOOD

Abstract

Objective: To study the reproductive function of women in the long-term period after surgical treatment of diffuse appendicular peritonitis (DAP) in childhood. Methods: From the 163 operated girls fertility function was studied in 115 in the long-term period, including 62 patients in the control group and 53 in the main group. In the main group, intra-operative abdominal ozone therapy was used to prevent adhesive process; introduction of ozone-oxygen mixture through micro-irrigator and ultra-phonophoresis or electrophoresis on the anterior abdominal wall in the early postoperative period. Results: It has been established that the history of DAP in childhood was not reliably affected the cyclicality of the menstrual cycle in a long-term period, although there was a decrease in the frequency of this indicator to the main group to 15.1% compared to the control group – 27.4% (p>0.05). In relation for painful menstruation, the difference between groups was statistically significant (18.9% vs. 38.7%, p<0.05). In addition, in the control group more than twice as often cases of ectopic pregnancies, miscarriages and premature births were registered (48.4% vs. 22.6%, p<0.05) and infertility was more common (29.0% vs. 13.2%, р<0.05). Of the 25 women with infertility who suffered from DAP in childhood, 23 were underwent hysterosalpingography. At the same time, against the background of the normal hormonal status tubal-peritoneal form of infertility was diagnosed associated with the adhesive process in the small pelvis. At 11 (47.8%) observations occlusion of fallopian tubes occurred, and in 10 of them the process was right-handed Conclusion: Improving the comprehensive treatment of children with DAP has significantly reduced its negative impact on the reproductive system of girls.

Keywords

• appendicular peritonitis
• complications
• girls
• reproductive function
• intra-operative ozone therapy
• tubal infertility.