Preview

Kuban Scientific Medical Bulletin

Advanced search

REMODELING UTERINE SCAR AFTER MIOMECTOMY AND THE ROLE OF DOPPLEROMETRY IN ITS EVALUATION

https://doi.org/10.25207/1608-6228-2017-24-4-22-26

Abstract

Aim. The aim of the study: to compare the effectiveness of traditional laparoscopic myomectomy to the one with an additional stage based on the analysis of echographic scar monitoring among fertile-interested patients.

Materials and methods. A prospective analysis of 96 surgical interventions was performed (laparoscopic myomectomy among reproductive-aged patients with uterine fibroids (UF).

Results. Echographic scar monitoring showed a lower incidence of adverse sonographic stigma after laparoscopic occlusion of the ascending branches of the uterine artery (UA AB LSO) during three months’ time observation and a leveling of differences – during half a year.

Conclusions. UA AB LSO improves the quality of myomectomy and the probability of morphologically substantiated scar formation on the uterus.

About the Authors

E. V. Bashirov
Kuban State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation

Fundamental Obstetric-Gynecological Clinic 

Corresponding author: Eduard V. Bashirov

350072, Krasnodar, Zipovskaya str. 4/1; tel.: 8(988)2425536



I. I. Kutcenko
Kuban State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Fundamental Obstetric-Gynecological Clinic


V. A. Krutova
Kuban State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Fundamental Obstetric-Gynecological Clinic


A. V. Babkina
Kuban State Medical University of the Ministry of Healthcare of the Russian Federation
Russian Federation
Fundamental Obstetric-Gynecological Clinic


References

1. Bezhenar V., Medvedeva N., Ailamazyan E. Modern strategy and surgical technique for laparoscopic myomectomy // Women's health. – 2008. – V. 4 (36). – P. 22 – 26. (In Russ.).

2. Prihodko A., Baev O., Lunkov S. et al. Possibilities of methods for assessing the condition of the uterus after a caesarean section // Akush Ginekol. – 2013. – V. 10. – P. 12-16. (In Russ.).

3. Dubuisson J., Ramyead L., Streuli I. The role of preventive uterine artery occlusion during laparoscopic myomectomy: a review of the literature // Arch Gynecol Obstet. – 2015. – V. 291 – N 4. – P. 737-43.

4. Kwon Y. S., Roh H. J., Ahn J.W. et. al. Transient occlusion of uterine arteries in laparoscopic uterine surgery // JSLS. – 2015. – V. 19 – N 1. – e2014.00189.

5. Wang P. H., Liu W. M., Fuh J. L. et. al. Symptomatic myoma treated with laparoscopic uterine vessel occlusion and subsequent immediate myomectomy: which is the optimal surgical approach? // Fertil Steril. – 2009. – V. 92 – N 2. – P. 762-9.

6. Alborzi S., Ghannadan E., Alborzi S. et al. A comparison of combined laparoscopic uterine artery ligation and myomectomy versus laparoscopic myomectomy in treatment of symptomatic myoma // Fertil Steril. – 2009. – V. 92 – N 2. – P. 742-7.

7. Blagovest B., Magunska N., Kovachev E. et al. Laparoscopic myomectomy with uterine artery clipping versus conventional laparoscopic myomectomy // Akush Ginekol. – 2015. – V. 54. – N 7. – P. 8-10.

8. El Behery M.M., Zaitoun M.M., Siam S. et al. Threedimensional power Doppler study of changes in uterine vascularity after absorbable cervical tourniguet during open myomectomy // Arch. Gyn. Obstetrics. – 2011. – V. 284. – P. 157-161.


Review

For citations:


Bashirov E.V., Kutcenko I.I., Krutova V.A., Babkina A.V. REMODELING UTERINE SCAR AFTER MIOMECTOMY AND THE ROLE OF DOPPLEROMETRY IN ITS EVALUATION. Kuban Scientific Medical Bulletin. 2017;(4):22-26. (In Russ.) https://doi.org/10.25207/1608-6228-2017-24-4-22-26

Views: 502


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1608-6228 (Print)
ISSN 2541-9544 (Online)