Exogenous and endogenous factors in the development of аdhesions in the pelvic cavity in women of reproductive age

Abstract

It is known that the peritoneum has the ability to respond to any irritation by adhesion formation, the result of this, in fact, a protective mechanism, is often tubal-peritoneal infertility, pelvic pain syndrome, violation of the anatomical and topographic location of the pelvic organs with a violation of their functional activity. In this regard, we analyzed 232 case histories of patients who underwent surgery for various gynecological pathologies. We found that in women with adhesion formation, patients with III-IV degree of prevalence prevail, regardless of the etiological factor. Significant exogenous risk factors associated with surgical trauma were identified : laparotomic access, the presence of repeated operations, the urgency of the previous operation, drainage of the abdominal cavity