The main group

The main group of postoperative complications are inflammatory processes of various localization. More frequent complications include infectious processes in the wounds of the abdominal wall (partial, full gapping, infiltrates), and endometritis. They contribute to the development of many factors: prolonged childbirth, a long waterless period, blood loss, frequent vaginal examinations, presence of chronic foci infection, the error of the operation and management of postoperative period.The most unfavorable terms of its consequences is chorioamnionitis at delivery. Fever during labor, purulent discharge from the genital tract, characteristic changes in blood analyzes a contraindication for Caesarean section, and if it is necessary, it should end hysterectomy.The most dangerous infectious complications are peritonitis and sepsis, delayed diagnosis and improper treatment are can cause death.

In the postoperative period is a frequent complication of thromboembolism, which may occur after a technically perfect operation and smooth postoperative course. So important identification by means of clinical and laboratory methods for predisposition to this disease and its early stages. Primenyamye methods of prevention and thromboembolism treatment can significantly reduce the number of fatal outcomes from this disease. These methods include the use fibrinolytic funds, anticoagulants, bandaging legs before the operation in the presence of varicose veins, controlled haemodilution, early ambulation after surgery, gymnastics.

One of the most frequent postoperative complications are hemorrhagic anemia. A precise estimate of blood loss, the adequacy of its replenishment are important to reduce the frequency of this complication.

Every year, progressively increasing the absolute number of parturients, delivery by caesarean section. In this regard, a new obstetric problem - management of pregnancy and childbirth in women with a scar on uterus, which are at risk for the emergence of uterine rupture.

The main cause of uterine rupture after cesarean section is failure scar. With the help of histological and clinical methods identified factors that adversely affect the formation of complete scar. These include postoperative infection, placenta previa to scar, poor suturing technique, a small (less than 1 year) or, conversely, long (more than 4 years) time after Caesarean section germination of trophoblast in the area of the scar. Long promeutok between pregnancy leads to progressive sclerosis in the rumen, it demuskulyarizatsii, causing increasing its inferiority. During repeated cesarean delivery section raises the question of sterilization for the prevention of uterine rupture during subsequent pregnancies, the risk that after repeated cesarean section increases sharply.


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