ROLE OF COMORBID PATHOLOGY IN SURGICAL AND GYNECOLOGICAL PRACTICE TAKING INTO ACCOUNT DYSPLASTIC SYNDROME

Currently, comorbidity has become a very serious problem of medicine including surgery and gynecology. Aim. To study the comorbid pathology in patients of surgical and gynecological profile taking into account connective tissue dysplasia. Materials and methods. 100 patients of gynecological and surgical profile were examined at The First Republican Clinical Hospital. The basic surgical pathology, the cause of patients’ hospital staying, was postoperative hernia, gynecological - threat of abortion before 22 weeks. To assess the comorbidity degree, Charlson index and cumulative illness rating scale (CIRS) were used. Results. Charlson index was 4,9; CIRS - 6,4 in surgical patients and in gynecological patients - 1,5 and 3,2, respectively. The most significant and frequently occurring clinical manifestations of connective tissue dysplasia (60% and >) among patients with postoperative ventral hernia and threat of abortion are the following: valve, asthenic, vertebrogenic, visceral, cosmetic. Heart dysplasia rate is 86% in patients with primary undifferentiated connective tissue dysplasia. Conclusion. Different manifestations of undifferentiated connective tissue dysplasia among patients with postoperative ventral hernias and women with threat of abortion is a rather widespread syndrome causing the basic disease or comorbid pathology.

Comorbidity, connective tissue dysplasia