Gynaecological patients have a role of echographic researches in diagnostics of postoperative complications

Abstract

DOI: 10.52705/2788-6190-2024-01-05
UDC 618.12-007.274:534-8:616-089

The objective: to estimate the diagnostic value of ultrasonic research in diagnostics of
postoperative complications for gynaecological patients.
Materials and methods. The analysis of results of ultrasonic inspection is conducted 90
patients which acted for endoscopic operative treatment and have had previous surgeries on
the organs of abdominal region and small pelvis. Echographic research consisted of two stages:
transabdominal and transvaginal, which was conducted on a certain chart. The area of skin
postoperative scars was aiming estimated, projection on the front abdominal wall of cut of parietal
peritoneum during previous operations and periomphalic area. A few special tests were used:
traction and compression test.
Results. Most informing with the purpose of diagnostics of complications are the followings
echographic signs: local bulge of parietal peritoneum with strengthening of echo-signal, presence
of educations with a liquid in a small pelvis, unconnected with an ovary, positive traction and
compression tests. The results of echographic researches fully coincided with information of
clinical inspections during the repeated surgical treatment.
Conclusion. Echographic research is the informing method of diagnostics of complications (to
the adhesive process) in an abdominal region and small pelvis and location for the first trocar
during laparoscopic operations.