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DIAGNOSTIC, TACTICAL AND DEONTOLOGICAL ASPECTS OF THE PROBLEM OF ACUTE SURGICAL PATHOLOGY OF ABDOMINAL ORGANS IN PREGNANT WOMEN

https://doi.org/10.48612/agmu/2022.17.4.16.24

Abstract

Acute surgical pathology in pregnant women is a serious interdisciplinary problem. Anatomical and physiological features associated with pregnancy lead to a shortage of diagnostic information: "habitual" clinical symptoms and laboratory signs become uninformative, and the use of instrumental imaging methods is limited by contraindications. This makes it much more difficult to make a decision, both about regard to surgical and obstetric tactics. Increased responsibility and the moral and ethical side of making such a decision require holding consultations with the most experienced specialists. With the improvement of modern technologies for pathogenetic correction of manifestations of combined toxicosis, the role of the use of extracorporeal detoxification methods in pregnant women with surgical pathology requires clarification. With abdominal delivery of patients operated on during pregnancy for acute abdominal pathology, the technique of extraperitoneal interventions is becoming increasingly widespread. The problem of long-term results of surgical diseases during pregnancy, quality of life and fertility in this group of patients requires study.

About the Authors

Yu. R. Molchanova
Astrakhan State Medical University
Russian Federation

Yuliya. R. Molchanova, Cand. Sci. (Med.), Associate Professor of the Department 

Astrakhan



R. D. Mustafin
Astrakhan State Medical University
Russian Federation

Robert. D. Mustafin, Dr. Sci. (Med.), Professor, Head of Department 

Astrakhan



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For citations:


Molchanova Yu.R., Mustafin R.D. DIAGNOSTIC, TACTICAL AND DEONTOLOGICAL ASPECTS OF THE PROBLEM OF ACUTE SURGICAL PATHOLOGY OF ABDOMINAL ORGANS IN PREGNANT WOMEN. Astrakhan medical journal. 2022;17(4):16-24. (In Russ.) https://doi.org/10.48612/agmu/2022.17.4.16.24

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