| About the author: |
V. V. Mishchenko, V. P. Mishchenko, P. I. Pustovoit, R. Yu. Vododіuk, V. V. Velichko, V. K. Likhachev, L. M. Dobrovolska |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The purpose of the study was to determine the role and location of laparoscopic cholecystectomy in pregnant women with a history of COVID‒19. 19 pregnant women underwent surgery. The mean age of pregnant women was 27±4.9 years. In the post-Covid period, clinical manifestations of the disease appeared in the first two days. Pregnant women who have had Covid-19 and patients with cholelithiasis and acute calculous cholecystitis have clinical manifestations of the disease in the form of hemolysed blood in the abdominal cavity and vesicular rashes on the visceral and parietal peritoneum, which sometimes merged into conglomerates and bled on contact. Pathomorphologically, the changes in the gallbladder wall were phlegmonous or gangrenous in nature. Diagnosis of this pathology in pregnant women who have had COVID‒19 should be rapid and accurate. Cholecystectomy should be performed before developing complications of gallstone disease and acute calculous cholecystitis. In the postpartum period in pregnant women, laparoscopic cholecystectomy should become the “gold standard” of surgical treatment. |
| Tags |
gallstone disease, calculous cholecystitis in pregnant women, postpartum period, cholecystectomy, laparoscopy |
| Bibliography |
- Kolomiytsev VI. Maloinvazivne likuvannya vahitnykh iz hostroyu pankreatobiliarnoyu patolohiyeyu. Naukovyy visnyk Uzhhorodskoho universytetu, seriya “Medytsyna”. 2011; 2 (41): 99‒101. [in Ukrainian]
- Barton LM, Duval EJ, Stroberg E, Ghosh S, Mukhopadhyay S. COVID-19 Autopsies, Oklahoma, USA. Am. J. Clin. Pathol. 2020; XX:1-9 https://doi org/10.1093/ AJCP/AQAA062.
- Becker RC. COVID-19 update: COVID-19-associated coagulopathy [published online ahead of print, 2020 May 15]. J. Thromb. Throbolysis. 2020; 1‒14. Doi:10.1007/s11239-020-02134-3. https://link.springer.com/article/ 10.1007/s11239-020-02134-3.
- COVID-19: Clinical management, WHO, 25.01.2021, https://www.who.int/publications/i/item/WHO-2019-nCoV-clinical-2021-1.
- Devall AJ, Coomarasamy A. Sporadic pregnancy loss and recurrent miscarriage. Best Practice & Research: Clinical Obstetrics & Gynaecology. 2020; 69, 30–39; doi: 10.1016/j.bpobgyn.2020.09.002. Epub 2020 Sep 8.
- European Association for Endoscopic Surgery and other Interventional Techniques. Category: COVID-19 Statements. Available at: https://eaes.eu/category/covid-19-statements.
- Gomes CA, Junior CS, Di Saverio S, Sartelli M, Kelly MD, Gomes CC et al. Acute calculous cholecystitis: Review of current best practices. World J. Gastrointest. Surg. 2017; 9(5): 118–126. https://doi.org/10.4240/wjgs.v9.i5.118.
- Hall BR, Armijo PR, Krause C, Burnett T, Oleynikov D. Emergent cholecystectomy is superior to percutaneous cholecystostomy tube placement in critically ill patients with emergent calculous cholecystitis. Am. J. Surg. 2018; 216(1): 116–9. https://doi.org/10.1016/j.amjsurg.2017.11.002
- Lei S, Jiang F, Su W, Chen C, Chen J, Mei W et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. EClinicalMedicine. 2020; 21: 100331. https://doi.org/10.1016/j.eclinm.2020.100331.
- Meshikhes AN. Successful laparoscopic cholecystectomy in the third trimester of pregnancy. Saudi Med. J. 2008; 2(29): 291–292.
- Moletta L, Pierobon ES, Capovilla G, Costantini M, Salvador R, Merigliano S et al. International guidelines and recommendations for surgery during Covid-19 pandemic: A Systematic Review. Int. J. Surg. 2020; 79: 180–8. https://doi.org/10.1016/j.ijsu.2020.05.061
- Pryor A. SAGES and EAES recommendations regarding surgicalresponse to COVID-19 crisis. Society of American Gastrointestinaland Endoscopic Surgeons, 2020 March 29. Available at: https://www.sages.org/recommendations-surgical-response-covid-19/.
- The Royal College of Surgeons of England. Updated Intercollegiate General Surgery Guidance on COVID-19. Available at: https://www.rcseng.ac.uk/coronavirus/joint-guidance-for-surgeons-v2.
- Ti LK, Ang LS, Foong TW, Ng BSW. What we do when a COVID-19 patient needs an operation: operating room preparation andguidance. Can. J. Anaesth. 2020; 67 (6): 756–8. DOI: 10.1007/s12630-020-01617-4.
|
| Publication of the article |
«World of Medicine and Biology» №1(79), 2022 year, 103-108 pages, index UDK 616.366-089.87-072.1-055.26-:616.98:578.834.1 |
| DOI |
10.26724/2079-8334-2022-1-79-103-108 |
