Prevention of obstetric and perinatal complications in patients of advanced maternal age with pregnancy after ART

Diagnosis and treatment of acute surgical diseases in gynecology, despite the modern achievements of medical science, has been and remains a difficult and responsible task. In urgent situations, there is always a danger of operating the patient when it was not necessary, or viewing the acute surgical process with prolonged observation, which contributes to the development of complications and even death of the patient. Often, not only health, but also the woman’s life depends on how quickly and correctly the doctor will orient in the situation and apply the right organizational and medical measures. The development of endoscopic technology has allowed us to go from a simple visual examination of the abdominal cavity and pelvic organs to complex surgical interventions without an abdominal incision, and in emergency conditions, in case of acute abdominal pathology, in most cases, resolve diagnostic doubts. The article describes the advantages and disadvantages of endoscopic treatment of the most common urgent gynecological pathologies, especially the postoperative management of patients, rehabilitation and preventive measures to restore their reproductive health.