Peculiarities of clinical course and complex therapy of peritonitis after infected abortions

Abstract

Infected abortions remain the main source of septic complications. Most authors point out the sterile course of peritonitis in gynecological patients and the difficulty of its diagnosis, which confirms the relevance of the issue under study.1132 women with infected abortions were under observation, 26 of them (2.3%) were diagnosed with peritonitis. The average age of patients with peritonitis was 25,6 years. On the 2nd-3rd day after the intervention and the first signs of disease 17 patients were admitted, on the 5th-6th day - 8 patients. To terminate the pregnancy women injected vodka (6), rubber catheters (14), metal objects (2), and oral medications (4) into the uterine cavity. Uterine perforation due to the introduction of metal objects occurred in 2 patients.