THE REPRODUCTIVE FUNCTION OF WOMEN WITH THE APOPLEXY OF THE OVARIES

Authors

  • O. M. Ishchak ДВНЗ «Тернопільський державний медичний університет ім. І. Я. Горбачевського МОЗ України»
  • M. R. Semkiv ДВНЗ «Тернопільський державний медичний університет ім. І. Я. Горбачевського МОЗ України»

DOI:

https://doi.org/10.11603/24116-4944.2018.1.8805

Keywords:

apoplexy of the ovary, reproductive function, methods of treatment.

Abstract

The aim of the study – to determine the advantage of the recommended laparoscopic surgery in the treatment of apoplexy of the ovaries; to investigate the clinical features of this disease.

Materials and Methods. The results of the treatment of 300 women with the apoplexy of the ovary during the period from 2014 to 2017 in the gynecological department of the Ternopil City Clinical Hospital No.2 are analyzed. The share of surgical interventions as a result of the ovarian apoplexy over the last 3 years was 11.5+0.5 %. In the study the methods of the laparoscopy, laparotomy and conservative treatment were compared. In general, during the analyzed period 92 women were operated and 208 women were conservatively treated. During the investigation the clinical features of the disease also were studied depending on the morphological structure of the source of the ovarian bleeding.

Results and Discussion. This gynecological disease is mostly common among women in reproductive age. During the study, the duration of laparoscopic operations is significantly reduced comparing to laparotomic surgeries by 30.1 % (p<0.05), the reduction of the use of analgesics in the postoperative period by 2.5 times (p<0.05), the reduction of the bed rest period by 12–14 hours; subfebrile was registered 1.8 times (p<0.05) less frequently.

Conclusion. In the proposed scheme of the treatment the following advantages of laparoscopy were revealed: maximal visualization of pelvic organs with minimal surgical access, the reduction of the duration of the surgery (p <0.05), early mobilizationof patients (p<0.05), low septic risk, less use of medicines and lowering of the costs of the treatment by 1.5 times, reducing of the number of cicatricial changes in the anterior abdominal wall, better cosmetic effect.

Author Biography

O. M. Ishchak, ДВНЗ «Тернопільський державний медичний університет ім. І. Я. Горбачевського МОЗ України»

 

References

Hladchuk, I.Z., Kozhakov, L. & Yakymenko, O.V. (2005). Apopleksiia yaiechnyka v suchasnii hinekolohii [Ovary apoplexy in modern gynecology]. Reproduktivnoe zdorovye zhenshchiny – Reproductive Health of a Woman, 4 (24), 56-58 [in Ukrainian].

Ventskivskyi, B.M., Burka, O.A. & Zhehulovych, V.H. (2006). Diahnostychna ta khirurhichna laparoskopiya u vidnovlenni reproduktyvnoho zdorovia zhinok pislia odnostoronnoi ovarioadneksektomii [Diagnostic and surgical laparoscopy in the restoration of reproductive health of women after unilateral ovarioadneksectomy]. Zdorovye zhenshchiny – Health of a Woman, 3 (27), 124-125 [in Ukrainian].

Nazarenko, O.Ya. (2008). Viddaleni rezultaty khirurhichnoho likuvannia apopleksii yaiechnyka vidkrytym i laparoskopichnym dostupom [Long-term results of surgical treatment of ovarian apoplexy with open and laparoscopic access]. Zbirnyk naukovykh prats asotsiatsiii akusheriv-hinekolohiv Ukrainy – Collection of Scientific Papers of the Association of Obstetricians-Gynecologists of Ukraine, 350-354 [in Ukrainian].

Nazarenko, O.Ya. (2008). Vypadok piznoi diahnostyky apopleksii yaiechnyka [A case of late diagnosis of ovarian apoplexy]. Odeskyi medychnyi zhurnal – Odesa Medical Journal, 6 (110), 72-75 [in Ukrainian].

Nazarenko, O.Ya., Rozmosh, H.V. & Yevdokymova, V.V. (2008). Klinichni proiavy apopleksii yaiechnyka [Clinical manifestations of applexia of the ovary]. Svit medytsyny ta biolohii – World of Medicine and Biology, 1, 64-67 [in Ukrainian].

Vovk, I.B., Kondratiuk, V.K., Kornatska, A.H. & Chubei, H.B. (2006). Pryntsypy konservatyvnoho likuvannia zhinok reproduktyvnoho viku z pukhlynopodibnymy urazhenniamy yaiechnykiv [Principles of conservative treatment of women of reproductive age with tumor-like lesions of ovaries]. Pediatriia, akusherstvo ta hinekolohiia – Pediatrics, Obstetrics and Gynecology, 3, 98-101 [in Ukrainian].

Zaporozhan, V.N., Nizova, N.N. & Irkina, T.K. (2002). Perspektivy vnedreniya programmy “Bezopasnoye materinstvo v Ukraine” [Prospects for the introduction of the program "Safe motherhood in Ukraine"]. Reproduktivnoye zdorovye zhenshchiny – Reproductive Health of a Woman, 3, 9-13 [in Russian].

Strakhovetskyi, V.S. (2009). Reproduktyvne zdorovia zhinok, yaki perenesly apopleksiiu yaiechnyka [Reproductive health of women who have suffered ovarian apoplexy]. Zdorovye zhenshchiny – Health of a Women, 4, 156-158 [in Ukrainian].

Archibong, E.A., Eskandar, M. & Sobande, A.A. (2003). Spontaneus hemoperitoneum from rutured tecaluteal cyst. Saudi Med. J., 33 (1), 30-33.

Published

2018-05-03

How to Cite

Ishchak, O. M., & Semkiv, M. R. (2018). THE REPRODUCTIVE FUNCTION OF WOMEN WITH THE APOPLEXY OF THE OVARIES. Actual Problems of Pediatrics, Obstetrics and Gynecology, (1). https://doi.org/10.11603/24116-4944.2018.1.8805

Issue

Section

OBSTETRICS AND GYNECOLOGY