Laparoscopic surgery in acute gynecological pathology in girls

Data on the efficacy of laparoscopic and open operations in girls with various forms of gynecological pathology are presented. The study included 1771 girls aged from several days of life to 17 years with acute gynecological pathology. The main group included 1180 patients who underwent laparoscopic surgery. The reference group was 591 patients with gynecological pathology, who underwent open surgery. Laparoscopic operations were established to provide cosmetic advantages, a reduction in the duration of the operation and the volume of intraoperative blood loss, the duration of postoperative analgesia, the restoration of peristalsis, and the initiation of enteral nutrition. At the same time, the duration of stay of patients in the hospital was halved. The authors believe the treatment to be conducted with the joint participation of a child surgeon and a children’s gynecologist at all stages of the examination and treatment to ensure the effectiveness of laparoscopic surgery.