Simultaneous surgery in a pregnant patient with unspecified giant splenomegaly
Background. Simultaneous surgery is a surgical intervention performed at the same time on two or more organs for etiologically unrelated diseases. Choosing the order of operations is applicable for surgery and gynecology. In obstetric practice, the priority is the extraction of a baby, and in the future the participation of other specialists.Kayumova A.V., Bashmakova N.V., Melkozerova O.A., Berman A.A.
Case report. The paper describes a clinical case of early delivery in a patient with giant splenomegaly and signs of hypersplenism. Simultaneous surgery was performed with the participation of two (obstetric/gynecological and surgical) teams in a multidisciplinary hospital. Cesarean delivery was performed at 30 weeks’ gestation, which was followed by splenectomy.
Conclusion. This type of surgery allowed simultaneous work in two directions: to prevent maternal mortality and to improve perinatal outcomes.
Keywords
simultaneous surgery
splenomegaly
hypersplenism
preterm labor
References
1. Reifferscheid М. Der Simultaneingziff in der Bayychhohle - chirurgische Aspekte. Zentralbl. Chir. 1971; 96: 1210.
2. Lv Y., Lau W.Y., Li Y., Deng J., Han X., Gong X. et al. Hypersplenism: history and current status. Exp. Ther. Med. 2016; 12(4): 2377-82.
3. Lv Y., Gong X., Xie X., Wang B., Yang Y., Li Y. Clinical study on the relationship between hematocytopenia and splenomegaly caused by cirrhotic portal hypertension. Cell Biochem. Biophys. 2014; 70(1): 355-60.
4. Хнох Л.И., Фельтшинер И.Х. Симультанные операции в брюшной полости. Хирургия. Журнал имени Н.И.Пирогова. 1976; 4: 75-9. [Hnoh L.I., Feltshiner I.Kh. Smultaneous operations in the abdominal cavity. Hirurgiya. N.I. Pirogov Journal. 1976; 4: 75-79. (in Russian)]
5. Милонов О.Б., Черноусов А.Ф., Смирнов В.А., Аврамов Ю.Ю., Авакян Р.Б. Сочетанные операции в абдоминальной хирургии. Хирургия. Журнал имени Н.И. Пирогова. 1982; 12: 89-93. [Milonov O.B., Chernousov A.F., Smirnov V.A., Avramov Yu.Yu., Avakyan R.B. Co-operation in abdominal surgery. Hirurgiya. N.I. Pirogov Journal. 1982; 12: 89-93. (in Russian)]
6. Федоров А.В., Кригер А.Г., Колыгин А.В., Кочатков А.В. Одномоментные операции. Терминология (обзор литературы и собственное предложение). Хирургия. Журнал имени Н.И. Пирогова. 2011; 7: 72-6. [Fedorov A.V., Kriger A.G., Kolygin A.V., Kochatkov A.V. Simultaneous operations. Terminology (The literature review and own suggestion). Hirurgiya. N.I. Pirogov Journal. 2011; 7: 72-76. (in Russian)]
7. Адамян Л.В., Гайдарова А.Х. Сочетанные операции в гинекологии: вопросы классификации и методологического подхода. В кн.: Кулаков В.И., Адамян Л.В., ред. Лапароскопия и гистероскопия в акушерстве и гинекологии. М.: ПАНТОРИ; 2002: 422-8. [Adamyan L.V., Gaydarova A.Kh. Co-operation in gynecology: the classification and the methodological approach. In: Kulakov V.I., Adamyan L.V., ed. Laparoscopy and hysteroscopy in obstetrics and gynecology. 2002; 422-428. (in Russian)]
8. Материнская смертность в Российской Федерации в 2014 году. Методическое письмо МЗ РФ от 09.10.2015. [Maternal mortality in the Russian Federation in 2014. Methodological letter, Ministry of Health of Russia, 09.10.2015. (in Russian)]
9. Фаткуллин Ф.И. Выбор метода оперативного родоразрешения при преждевременных родах. Казанский медицинский журнал. 2008; 89(5): 610-3. [Fatkullin F.I. The choice of method of operative delivery in preterm labor. Kazanskij medicinskij zhurnal/Kazan Medical Journal. 2008; 89(5): 610-3. (in Russian)]
10. Фаткуллин Ф.И. Рождение в рубашке. Кесарево сечение при недоношенной беременности. StatusPraesens. Гинекология, акушерство, бесплодный брак. 2012; 1: 27-31. [Fatkullin I.F. Born in the shirt. Cesarean section in preterm pregnancy. StatusPraesens. Gynecology, obstetrics, barren marriage. 2012; 1: 27-31. (in Russian)]
11. Пономарева О.В., Ганул А.В. Индолентные неходжкинские лимфомы: современный алгоритм диагностики и лечения. Онкология. 2014; 16(3): 216-26. [Ponomareva O.V., Ganul A.V. Indolent non-Hodgkin’s lymphoma: a modern algorithm for diagnosis and treatment. Onkologiya/Oncology. 2014; 16(3): 216-226. (in Russian)]
12. Дронова В.Л., Дронов А.И., Крючина Е.А., Телесюк Р.С., Луценко Е.В., Насташенко М.И. Симультанные операции при сочетанных хирургических и гинекологических заболеваниях. Украинский журнал хирургии. 2013; 2: 143-54. [Dronova V.L., Dronov A.I., Kryuchina E.A., Telesyuk R.S., Lucenko E.V., Nastashenko M.I. Simultaneous operations in combined surgical and gynecological diseases. Ukrainskij zhurnal hirurgii/Ukrainian Journal of Surgery. 2013; 2: 143-54. (in Russian)]
Received 07.08.2017
Accepted 22.09.2017
About the Authors
Alena V. Kayumova, MD, Obstetrician-gynecologist, Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.620028, Russia, Yekaterinburg, Repin str. 1. E-mail: kaum-doc@mail.ru
Nadezhda V. Bashmakova, MD, Professor, Director of Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.
620028, Russia, Yekaterinburg, Repin str. 1. E-mail: dr@niiomm.ru
Oksana A. Melkozerova, MD, Head of Gynecology Research Department, Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.
620028, Russia, Yekaterinburg, Repin str. 1. E-mail abolmed1@mail.ru
Aleksandr A. Berman, Radiologist, Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.
620028, Russia, Yekaterinburg, Repin str. 1. E-mail: tt019@mail.ru
For citations: Kayumova A.V., Bashmakova N.V., Melkozerova O.A., Berman A.A. Simultaneous surgery in a pregnant patient with unspecified giant splenomegaly. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (6): 127-31. (in Russian)
https://dx.doi.org/10.18565/aig.2018.6.127-131
Similar Articles
