Gynecological diseases (gynecology)

Wound infection in gynecology

The most common complication of the postoperative period in surgery is suppuration of the postoperative wound.

Sepsis - Causes and Pathogenesis

The main pathogens in patients with sepsis are considered to be highly virulent gram-negative and anaerobic bacteria, less often gram-positive flora. E. coli, S. aureus, S. pneumoniae and obligate anaerobes are most often isolated in sepsis.

Sepsis

Sepsis is characterized by the continuous or periodic entry of microorganisms from a purulent focus into the blood, microbial or tissue intoxication with the development of severe multi-organ disorders and often the formation of new foci of purulent inflammation in various organs and tissues.

Peritonitis - Causes and Pathogenesis

The most severe form of anaerobic peritonitis is caused by B. fragilis, P. melannogenicus and other bacteroids, with tissue breakdown, formation of isolated purulent foci and frequent development of pelvic thrombophlebitis and sepsis.

Peritonitis

Peritonitis is characterized by severe general symptoms, including endogenous intoxication and multiple organ failure. Mortality in peritonitis has always remained one of the highest and reached 55-90% in postoperative surgical peritonitis.

Purulent infiltrative omentitis: causes, symptoms, diagnosis, treatment

The presence of a purulent process in the abdominal cavity or pelvic cavity. In acute inflammatory diseases of the abdominal organs, the free edge of the greater omentum, as a rule, is part of the conglomerates, thus limiting the inflammation focus from the free abdominal cavity.

Inflammatory fistulas: causes, symptoms, diagnosis, treatment

Causes of inflammatory fistula development: incorrect tactics of management of patients with purulent diseases of the pelvic organs. In patients with a long and recurrent course of the purulent process with untimely surgical treatment, with the next activation of the process, perforation of the abscess occurs (usually multiple) into hollow organs and (or) the anterior abdominal wall

Appendicular infiltrate: acute, dense, friable

Differential diagnosis of appendicular infiltrate and purulent tubo-ovarian formation of right-sided localization presents significant difficulties due to the greater duration of the process.

Interintestinal and subdiaphragmatic abscesses

In essence, limited forms of purulent peritonitis refer to extragenital foci of purulent inflammation. In patients with purulent formations of the uterine appendages, especially with a long-term recurrent course, microperforations may occur with the next activation (exacerbation) of the process.

Pyometra: causes, symptoms, diagnosis, treatment

Pyometra is an accumulation of pus in the uterus as a result of infection of the contents of the uterine cavity with pyogenic microorganisms due to a disruption of the outflow from its cavity.