Email this article The experience of organ-preserving surgical treatment of patients with severe forms of adenomyosis
- Authors: Makarenko T.A1, Tskhay V.B.1
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Affiliations:
- Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky, Ministry of Health of Russian Federation
- Issue: Vol 65, No 5 (2016)
- Pages: 96-99
- Section: Articles
- URL: https://bakhtiniada.ru/jowd/article/view/5815
- DOI: https://doi.org/10.17816/JOWD65596-99
- ID: 5815
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Abstract
Relevance. Severe forms of adenomyosis still remain a serious gynecological problem regarding reproductive outcomes. There are about 93% of unsuccessful results after conservative treatment of this pathology what makes doctors search new solutions of this disease.
Objectives: improving the efficiency of organ-preserving surgical treatment of patients with severe forms of adenomyosis using the method of adenomyomectomy by Japanese professor H. Osada.
Materials and methods. 18 patients with adenomyosis were operated by the method of H. Osada from 2012 to 2016 by the staff of the Krasnoyarsk state medical University.
Results. Period of following up the operated patients currently ranges from 2 to 42 months. Normalization of menstrual function is observed in all women (100%). The resumption of the pathological symptoms of the disease are not registered. Spontaneous pregnancy occurred in two women, ended by cesarean delivery and birth of live full-term babies. Currently 7 patients are receiving postoperative hormonal treatment and 6 patients are planning their pregnancy with the help of reproductive technologies.
Conclusion. Organ-saving surgery of severe adenomyosis by the method of H. Osada is a good alternative to hysterectomy in such group of patients; it stops the development of pathological symptoms of the disease, and in some cases facilitates woman’s reproductive function.
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##article.viewOnOriginalSite##About the authors
Tatyana A Makarenko
Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky, Ministry of Health of Russian Federation
Author for correspondence.
Email: makarenko7777@yandex.ru
MD, associate professor, head of Department of operative gynecology of postgraduate studies Russian Federation
Vitaly Borisovich Tskhay
Krasnoyarsk state medical University named after Professor V.F. Voyno-Yasenetsky, Ministry of Health of Russian Federation
Email: tchai@yandex.ru
MD, Professor, head of Department of Perinatology, obstetrics and gynecology, medical faculty Russian Federation
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