[POSTOPERATIVE COURSE IN LAPAROSCOPIC AND TRADITIONAL APPENDECTOMY IN DIFFERENT GESTATIONAL TERMS]

The purpose of the study was to assess the features of the postoperative period according to the parameters of the blood coagulation system in pregnant women who undergone laparoscopic and traditional appendectomy in different gestational terms. The age of pregnant women ranged from 18 to 40 years, the average age was 25.7±0.5 years. The gestational period was from 4-5 to 35-36 weeks. In accordance with the purpose of the work, the patients were divided into two groups. For women of group I (n=75), laparoscopic appendectomy was performed as a surgical treatment, in group II (n=25), appendectomy was performed by a laparotomy. It has been established that activation of the regulatory mechanisms of the blood coagulation system in the treatment of acute appendicitis during pregnancy does not go beyond the limits of physiological parameters both before and after laparoscopic appendectomy. The hemostasis system with traditional appendectomy has more pronounced and persistent signs of hypercoagulation that were aggravated under the conditions of surgical intervention and in the postoperative period there was a very slow tendency for their recovery. Thus, changes in the hemostasis system in the traditional treatment of acute appendicitis during pregnancy compared with laparoscopic evidence of a significant increase in blood coagulation potential. Considering the minimal changes in the hemostasis system during endoscopic surgical intervention, the absence of surgical and obstetric complications, favorable pregnancy outcomes for mother and child, the optimal choice of the treatment is laparoscopic appendectomy in different periods of pregnancy.