ARGON PLASMA COAGULATION IN EMERGENCY GYNECOLOGY: CLINICAL RATIONALE AND ANALYSIS OF THE NEED FOR ORGAN-PRESERVING HEMOSTASIS
Keywords:
argon plasma coagulation; emergency gynecology; hemostasis; organ-preserving surgery; complications.Abstract
Emergency gynecologic surgery accounts for a substantial proportion of inpatient operative activity and is frequently complicated by bleeding, infectious complications, and systemic inflammatory responses. Conventional coagulation methods do not always achieve rapid, reliable hemostasis without marked collateral thermal injury, which is particularly important for women of reproductive age. This article discusses the pathophysiological and organizational rationale for integrating argon plasma coagulation (APC) into urgent gynecologic care pathways and summarizes key findings from a retrospective review of clinical material from 2020–2022 that informed the development of an optimized APC technique.References
1. Malyshkina A.I., Batrak N.V. Acute abdomen in gynecology: analysis of the structure of surgical interventions in various urgent conditions. Bulletin of the Ivanovo Medical Academy. 2021;26(3):44–47.
2. Chaves K.F. et al. Prevalence of and risk factors for emergency department visits after outpatient gynecologic surgery. Journal of Minimally Invasive Gynecology. 2023;30(1):19–24.
3. Kurbanova D.F., Badalova A.A. Argon plasma coagulation in the treatment of external genital endometriosis in women. Visnyk of the Ukrainian Medical Stomatological Academy. 2021;21(3):69–74.
4. Mowat A., Maher C., Ballard E. Surgical outcomes for low-volume vs high-volume surgeons in gynecology surgery: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. 2016;215(1):21–33.
5. Nahas S., Feigenberg T., Park S. Feasibility and safety of same-day discharge after minimally invasive hysterectomy in gynecologic oncology: a systematic review of the literature. Gynecologic Oncology. 2016;143:439–442. doi:10.1016/j.ygyno.2016.07.113.
6. O'Neill A.M. et al. The impact of enhanced recovery after gynaecological surgery: a systematic review and meta-analysis. Gynecologic Oncology. 2023;168:8–16.
7. Ostromensky V.V. et al. Hyaluronic acid or argon-plasma coagulation: what will strengthen the uterine scar? Experimental data. Pharmateca. 2018;(6):60–65.
8. Pikul I., Lubkovska O. Emergency treatment in gynecology using different methods of surgery. EUREKA: Health Sciences. 2022;(1):3–9.

