CHANGES OF REGULATORY SYSTEM ADAPTIVE STATUS OF PATIENTS AFTER APPLICATION OF DIFFERENT APPROACHES FOR MYOMECTOMY
https://doi.org/10.25207/1608-6228-2017-24-4-74-77
Abstract
Aim. To reveal the quantity changes of the regulatory system adaptive status of patients after different approaches for myomectomy.
Materials and methods. Myomectomy was performed in the 2ndRegionalClinicalHospital by three different approaches: laparotomic, laparoscopic and hysteroresectoscopic. The heart rate variability was evaluated by time and spectral parameters.
Results. There was revealed that the decrease of heart rate variability is more significantly expressed after laparotomic myomectomy than after laparoscopic myomectomy. The least expressed change of the regulatory system adaptive status was observed in patients after hysteroresectoscopy.
Conclusion. The parameters of heart rate variability allow estimating the functional adaptive status in patients with myoma of uterus who underwent different surgical treatment.
About the Authors
A. A. Zhuyko
ГБУЗ ККБ №2
Russian Federation
Russian Federation
Department of gynaecology
Corresponding author: Aleksej A. Zhujko
350012, Krasnodar, Krasnykh Partisan str., 6/2
G. A. Penzhoyan
Kuban State Medical University
Russian Federation
Russian Federation
Department of obstetrics, gynaecology and perinatology for postgraduate education
350063, Krasnodar, Sedin str, 4
V. V. Ponomarev
Kuban State Medical University
Russian Federation
Russian Federation
Department of obstetrics, gynaecology and perinatology for postgraduate education
350063, Krasnodar, Sedin str, 4
V. V. Artyushkov
Kuban State Medical University
Russian Federation
Russian Federation
Department of obstetrics, gynaecology and perinatology for postgraduate education
350063, Krasnodar, Sedin str, 4
M. E. Vengerenko
2nd Regional Clinical Hospital
Russian Federation
Russian Federation
Department of gynaecology
350012, Krasnodar, Krasnykh Partisan str., 6/2
References
1. Adamjan L.V., Kozachenko N.V., Revazova Z.V. Novye podhody k medikamentoznomu lecheniju simptomnoj miomy matki (obzor literatury). Problemy reprodukcii. 2013; 19(3): 21-23. (In Russ.)
2. Bezhenar' V.F., Cypurdeeva A.A., Dolinskij A.K., Bochorishvili R.G. Laparoskopicheskaja miomjektomija – semiletnij opyt. Journal of obstetrics and woman disease. 2011; 60(4): 12-20. (In Russ.)
3. Cardozo E.R., Clark A.D., Banks N.K., Henne M.B., Stegmann B.J., Segars J.H. The estimated annual cost of uterine leiomyoma in the United States. Am. J. Obstet. Gynecol. 2012; 206(3): 211. (In English)
4. Adamjan L.V. Mioma matki: diagnostika, lechenie i reabilitacija. Klinicheskie rekomendacii po vedeniju bol'nyh. M.; 2015. (In Russ.)
5. Mettler L., Schollmeyer T., Tinelli A., Malvasi A., Alkatout I. Complications of uterine fibroids and their management, surgical management of fibroids, laparoscopy and hysteroscopy versus hysterectomy, haemorrhage, adhesions, and complications. Obstet. Gynecol. Int. 2012; 2012. 791248. doi: 10.1155/2012/791248. (In English)
6. Buianova S.N., Mgeliashvili M.V., Petrakova S.A. Possibilities of reconstructive surgery of the uterus to correct reproductive function in patients with uterine myoma. Russian Bulletin of ObstetricianGynecologist. 2011; 11(5): 89-93. (In Russ., English abstract).
7. Sidorova I.S., Unanyan A.L., Ageev M.B. Current status of the pathogenesis, clinical features, diagnosis and treatment. Akusherstvo, ginekologija, reprodukcija. 2013; (4): 22-28. (In Russ., English abstract)
8. Borodjuk N. R. Adaptacija i gumoral'naja reguljacija. M.; 2003.151. (In Russ.)
9. Mihajlov V. M. Variabel'nost' ritma serdca. Opyt prakticheskogo primenenija. M.; 2003. 165. (In Russ.)
10. Heart Rate Variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and North American Society of Pacing and Electrophysiology. Circulation. 1996; (93): 1043–1065. (In English)
Review
For citations:
Zhuyko A.A., Penzhoyan G.A., Ponomarev V.V., Artyushkov V.V., Vengerenko M.E. CHANGES OF REGULATORY SYSTEM ADAPTIVE STATUS OF PATIENTS AFTER APPLICATION OF DIFFERENT APPROACHES FOR MYOMECTOMY. Kuban Scientific Medical Bulletin. 2017;(4):74-77. (In Russ.) https://doi.org/10.25207/1608-6228-2017-24-4-74-77
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