Surgical treatment of ovarian endometriomas using intraoperative ultrasound
https://doi.org/10.25207/1608-6228-2020-27-1-49-58
Abstract
Aim. To improve the results of the surgical treatment of patients with ovarian endometriomas using intraoperative echography.
Materials and methods. The results of the surgical treatment of 138 patients with endometrioid ovarian cysts were prospectively and retrospectively analyzed. The main group consisted of 69 patients, who underwent standard ultrasound examination before and after surgery, as well as intraoperative laparoscopic ultrasound imaging. The control group (retrospectively) consisted of 69 patients with endometrioid ovarian cysts, who were not subject to laparoscopic ultrasound examination.
Results. The use of intraoperative transvaginal and laparoscopic echography can reduce the time of surgical revision, reduce the number of intra- and postoperative complications, as well as the frequency of relapses in the postoperative period.
Conclusion. According to the obtained results, intraoperative ultrasound echography has a high diagnostic accuracy of up to 99.2%. This method of intraoperative diagnosis allows the optimal volume and method of surgical intervention to be determined, and the safety and adequacy of surgical treatment to be ensured, thus maximizing the reproductive function.
About the Authors
Viktoriya A. Krutova
Kuban State Medical University;
Clinic of the Kuban state medical university
Russian Federation
Russian Federation
Dr. Sci. (Med.), Prof., Department of Obstetrics, Gynecology and Perinatology, Mitrofanа Sedina str., 4, Krasnodar, 350063;
Chief Doctor, Zipovskaya str., 4/1, Krasnodar, 350010
Natal’ya V. Naumova
Kuban State Medical University;
Clinic of the Kuban state medical university
Russian Federation
Russian Federation
Cand. Sci. (Med.), Assoc. Prof., Department of Radiation Diagnostics, Mitrofanа Sedina str., 4, Krasnodar, 350063;
Head of the Department of Radiation Diagnostics, Zipovskaya str., 4/1, Krasnodar, 350010
Elena A. Boldovskaya
Kuban State Medical University
Russian Federation
Russian Federation
Cand. Sci. (Med.), Specialist of Ultrasound Diagnostics, Department of Radiation Diagnostics, Clinic of the Kuban State Medical University,
Mitrofanа Sedina str., 4, Krasnodar, 350063
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Review
For citations:
Krutova V.A., Naumova N.V., Boldovskaya E.A. Surgical treatment of ovarian endometriomas using intraoperative ultrasound. Kuban Scientific Medical Bulletin. 2020;27(1):49-58. (In Russ.) https://doi.org/10.25207/1608-6228-2020-27-1-49-58
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