THE REPRODUCTIVE FUNCTION OF WOMEN WITH THE APOPLEXY OF THE OVARIES
DOI:
https://doi.org/10.11603/24116-4944.2018.1.8805Keywords:
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.
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.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
