scholarly journals Frequency of Acetabulum Retroversion Formation after Reorienting Pelvic Osteotomies in Children Over 7 Years Old with Developmental Dysplasia of the Hip

2021 ◽  
Vol 27 (1) ◽  
pp. 121-130
Author(s):  
P. I. Bortulev ◽  
S. V. Vissarionov ◽  
V. E. Baskov ◽  
D. B. Barsukov ◽  
I. Yu. Pozdnikin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pelvic Osteotomy ◽  
Developmental Dysplasia ◽  
Acetabular Retroversion ◽  
Hip Joints ◽  
Group Iii ◽  
Acetabular Fragment ◽  
Group I ◽  
Group Ii ◽  
Dysplasia Of The Hip

Background. One of the reasons for the development of the “pincer” type of femoroacetabular impingement are various reorienting pelvic osteotomies, which are widely used in the treatment of children with developmental dysplasia of the hip (DDH).The aim of the study was to evaluate the frequency of formation of retroversion of the acetabulum after reorienting pubic-iliac, iliac-sciatic and triple pelvic osteotomies in children over 7 years old with DDH I–II degree according to Crowe.Material and Methods. The retrospective study is based on the results of radiometry of 60 patients (69 hip joints) at an average age of 11.6±2.9 years with DDH I–II degree according to Crowe who underwent surgical treatment in 2014-2016. The patients were divided into three groups of 20 patients each. Group I underwent an iliac osteotomy. Group II underwent an ilio-sciatic osteotomy. In group III patients, the acetabulum was reoriented by triple (pubo-ilio-sciatic) pelvic osteotomy. In addition to standard radiometry of the hip joints, the following indicators were evaluated: signs of acetabular retroversion (“cross-over”, “posterior wall”, “ischial spine”), as well as the index of acetabular retroversion (ARI).Results. The assessment of the main radiometric parameters of the spatial position and the correction value of the acetabulum was carried out at least 36 months after the surgical treatment. There were no statistically significant differences in the radiometric parameters of the spatial orientation of the acetabulum in group I and II patients (p>0.05), except for the degree of bone coverage, which was significantly higher in group II patients (p<0.05) than in group II patients, which indicated the presence of hypercorrection. In patients of group III, the values of the above-mentioned indicators varied within the physiological values. Retroversion of the acetabulum was observed in more than half of the patients in group I and in almost all patients in group II. In group III patients, acetabular retroversion was observed in only 3 patients.Conclusion. In the vast majority of cases, a double pelvic osteotomy (pubo-iliac and ilio-sciatic) leads to the formation of hypercorrection of the acetabular fragment and its retroversion in comparison with a triple pelvic osteotomy. The pathological orientation of the acetabulum, despite the achieved stability of the hip joint, can be a morphological substrate for the development of femoro-acetabular impingement and, as a result, coxarthrosis. In the treatment of children with DDH over 7 years old the operation of choice is a triple pelvic osteotomy.

scholarly journals Outcomes of ophtalmologic surgical procedures of esotropia in children and adolescents

2008 ◽  
Vol 65 (8) ◽  
pp. 627-631
Author(s):  
Tamara Kljakovic-Avramovic ◽  
Miroslav Vukosavljevic ◽  
Sinisa Avramovic
Keyword(s):  
Surgical Treatment ◽  
Prospective Study ◽  
Children And Adolescents ◽  
Deviation Angle ◽  
Group Iii ◽  
Military Medical Academy ◽  
Group I ◽  
Medical Academy ◽  
Group Ii ◽  
Common Manifestation

Background/Aim. Esotropia is the most common manifestation form of strabism accompanied by refraction deviations and amblyopia. The aim of this prospective study was to present the outcomes of surgical treatment of esotropia in children and adolescents. Methods. Within the period from January 1st 2006 to February 1st 2007 at the Clinic for Ophtalmology, Military Medical Academy, Belgrade a total of 25 patients with esotropia (34 eyes) and previously corrected refraction anomaly and treated amblyopia were operated on. The patients were 4-19-year of age. All of the patients were submitted to a complete ophtalmologic and orthoptic examination prior to the surgery, and a month, three months and six months after the surgery. The surgery was performed under general anesthesia. Out of the total number of the patients nine were operated on both eyes, while 16 patients on one eye with amblyopia or frequent esodeviation. Nine patients were submitted to retroposition of the inner straight muscle, two to myectomy of the outer straight muscle, while in 14 of the patients a combination of retroposition and myectomy was performed. The patients were divided into three groups according to the preoperative angle at the distance and followed-up accordingly after the surgery. Deviation angle at the distance in the group I was 18-25 DP, in the group II 26-35 PD, while in the group III it was 36-60 PD. Results. The most numerous, group I (12 patients; 48%), a month following the surgery showed angle reduction by 55.58%, after three months 63.25%, and after six months 63.92%. The group II consisted of 8 patients (32%) showed angle reduction by 70.75% a month following the surgery, by 76% after three months, and by 79.12% after six months. The group III (5 patients; 20%) showed angle reduction by 72.20% a month following the surgery, 79.20 after three months, and 80.12% after six months following the surgery. Conclusion. The best postoperative outcomes after a month, three and six months were obtained in the group of patients with the highest esodeviation angle at the distance solved by the surgery on both eyes. Timely surgical treatment befell into major precondition for developing and maintaining the elements of binocular vision in the operated on patients. .

Hormonal status of patients after surgical treatment of fibrocystic mastopathy and possibilityes of its corrections

2017 ◽  
pp. 128-131
Author(s):  
Yu.Ya. Pryshash ◽  
Keyword(s):  
Surgical Treatment ◽  
Standard Dose ◽  
Treatment Phase ◽  
Nodule Formation ◽  
Double Dose ◽  
Postoperative Rehabilitation ◽  
Group Iii ◽  
Group I ◽  
Group Ii ◽  
High Doses

The purpose of the study was to investigate the efficacy of Mastodynon in terms of indications in elevated doses versus the standard dose. Materials and methods. Data were analyzed for 60 patients after surgical treatment of fibro-cystic mastopathy. Depending on the postoperative therapy received by the patients, they were divided into three groups. Group I (n = 20): patients were observed in accordance with the standards established in mammal practice and did not receive special agents that affect hormonal homeostasis. Group II (n = 20): In addition to observation, patients received Mastodynon® (1 tablet or 30 drops 2 times a day) for 6 months. Group III (n = 20): Patients were given for a post-operative rehabilitation Mastodynon® in a double dose (2 tablets or 60 drops 2 times a day) for 6 months. Results Surgical treatment without conservative therapy eliminates organic changes in the thoracic glands (GH), but hormonal disorders that have led to pathologic and histological changes in the tissues of GZ continue to exist for a long time and can lead to repeated nodal formations. In group І, 25% of patients within 2 years performed repeated sectoral resections on recurrence of nodule formation. In group І, 25% of patients within 2 years performed repeated sectoral resections on recurrence of nodule formation. The use of Mastodynon® in standard doses (group II) for postoperative rehabilitation contributes to a significant improvement in hormonal homeostasis (normalization of prolactin, estradiol and progesterone levels), a 24.7 mm decrease in the degree of cyclic mastodynia according to the visual analog scale (VAS), and the improvement of ultrasound scan Pictures of GZ in 75% of patients. The most pronounced effect of this rehabilitation approach after the surgical treatment phase was noted for the use of Mastodynone in doble doses (2 tablets or 60 drops 2 times a day) in Group III. In these patients, the degree of reduction of cyclic mastodynia was 30 mm for VAS and positive changes in the tissues of GH were noted in 85% of patients. However, the highest incidence of adverse events was also noted in Group III, although they were temporary in nature and did not require withdrawal or dose reduction. Conclusion. Despite the presence of short-term side effects and rapid rebounding in the double-dose Mastodynon® group, our study showed better results than standard doses, faster and more stable therapeutic effect. Taking into account the results obtained, it can be argued that the use of high doses of Mastodynon® may be recommended to patients for the treatment of mastopathy. For a more complete study of such an important aspect as the tolerability of high doses of Mastodynon®, it is advisable to conduct more extensive studies, taking into account the dosage form and the use of other drugs. Key words: mastopathy, postoperative rehabilitation, Mastodynon®, mastodynia.

scholarly journals Palliative surgical treatment of patients, suffering proximal tumoral affection of biliary ducts and the jaundice syndrome

2020 ◽  
Vol 87 (11-12) ◽  
pp. 40-47
Author(s):  
Ya. M. Susak ◽  
R. Ya. Palytsya ◽  
L. Yu. Markulan ◽  
O. O. Dyrda
Keyword(s):  
Surgical Treatment ◽  
Palliative Treatment ◽  
Biliary Stenting ◽  
Technical Success ◽  
Endoscopic Retrograde ◽  
Group Iii ◽  
Group I ◽  
Priority Method ◽  
Biliary Ducts ◽  
Group Ii

Objective. To compare the efficacy of methods of miniinvasive palliative treatment of malignant hilar strictures with the jaundice syndrome. Materials and methods. Into the investigation 71 patients, suffering proximal obturation jaundice of tumoral genesis, were included. The patients were divided into three Groups: Group I - 26 patients, to whom external-internal suprapapillary cholangiostomy was done; Group II - 28 patients, in whom transcutaneous transhepatic antegrade endobiliary stenting was performed; Group III -17 patients, to whom endoscopic retrograde biliary stenting was accomplished. Results. Technical success in all the Groups have constituted 100%; clinical one - in 94.0%: in Group I - 96.2%, in Group II - 89.3%, and in group III - 82.4% (p>0.05). In Group I general rate of morbidity was lesser, including cholangitis and pancreatitis. The duration of cholangitis was lesser as well. Cumulative survival were the highest in Group of patients, to whom external-internal suprapapillary cholangiostomy was performed (135 days at average), while the least one - in Group of the patients, in whom endoscopic retrograde biliary stenting was done (90,6 days). In Group of patients, to whom transcutaneous transhepatic antegrade endobiliary stenting was performed, this index have constitited 101.2 days. Conclusion. In proximal strictures of biliary ducts of tumoral genesis on background of jaundice the priority method of palliative treatment must be external-internal suprapapillary cholangiostomy, while the second-line of surgical treatment must constitute transcutaneous transhepatic antegrade endobiliary stenting. Endoscopic retrograde biliary stenting owes the lowest priority.

scholarly journals COMPARATIVE CHARACTERISTICS OF DIFFERENT METHODS OF TREATMENT OF CHRONIC COMPLICATED HEMORRHOIDS

2021 ◽  
pp. 36-42
Author(s):  
A. V. Makukha ◽  
M. A. Kashtalyan ◽  
V. Yu. Shapovalov ◽  
R. V. Enin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Postoperative Bleeding ◽  
Stage Ii ◽  
Group Iii ◽  
Early Postoperative Complications ◽  
Group I ◽  
External Component ◽  
Group Ii ◽  
Methods Of Treatment

Abstract. Introduction. In recent years, a method of surgical treatment of hemorrhoids by the method of ligation of hemorrhoidal arteries under Doppler control (THD technique), as well as with additional rectoanal reconstruction (HAL-RAR) has been developed and widely used. The aim of the study. The aim of our study was to compare methods of treatment of chronic complicated hemorrhoids stage II-III: classical Milligan-Morgan surgery, staple mucopexy according to Longo, as well as a combined technique: Doppler desarterization by HAL-RAR with additional removal of the external anodermal component. Materials and methods. In the clinic of coloproctology of Military medical: Clinical Center of the Southern Region of Odessa performed an analysis of three groups of patients for the period from 2011 to 2021, who underwent hemorrhoidectomy for complicated forms of hemorrhoids (bleeding, nodular prolapse, mucosal prolapse, anal fissure). All patients suffered from chronic complications of stage II or III hemorrhoids, with one or more of the above complications. Selected cases are divided into three groups: Group I (control) operations on Milligan-Morgan — 240 patients, including -64 women and 176 men; Distribution by age from 18 to 75 years; Group II staple hemorrhoidopexy for Longo — 276 patients, including 89 women and 115 men. Distribution by age from 18 to 72 years; Combined interventions using the wireless Doppler surgical complex Wi-3 HAL-RAR and additional removal of excess anoderm (from January 2019 to May 2021) operated on 53 patients, including 31 (58%) men and 22 (42%) women . Distribution by age from 28 to 62 years. Results and discussion. According to our data: bed day ranged from 1 to 8 days, mostly it was lower in group III — 1.3 (± 0.4) bed per day compared to 3.1 (± 0.8) in group II and 4.8 (± 1,7) in group III resorptive fever was not observed; the highest pain syndrome for VASH (average 7 points) in the group of patients of group I — compared with patients from group II (average 4 points) and patients of group III (average 2 points); the highest number of early postoperative complications was found in the group of patients operated on Milligan- Morgan: 1) acute urinary retention was observed in 43 cases (18%) of group I, compared with 38 cases (14%) of group II. The lowest number of cases of urinary retention was observed in group III — 2 cases (4%) (p <0.05). 2) postoperative bleeding from the wound was significantly more common in group I — 9 cases (3.75%), compared with group II — 6 cases (2.5%). No postoperative bleeding was observed in group III. 3) resorptive fever was most common in group I — 43 cases (18%) compared with group II - 33 cases (12%). Resorptive fever did not occur in group III (p<0.05). In all patients using the combined intervention HAL-RAR + excision of the external component of the anoderm, the pain was acquired by taking nonspecific anti-inflammatory drugs without the use of narcotic analgesics. No complications were observed. All patients noted no reduction in quality of life in the postoperative period. Conclusions. 1. Surgical treatment of hemorrhoids by the combined method of HAL-RAR + excision of the external component is a simple and effective method that in the postoperative period reduces the patient’s stay in the hospital, relatively lower in pain and the frequency of early postoperative complications. 2. HAL-RAR technology with excision of the outer component of the anoderm can be the operation of choice in the surgical treatment of chronic complicated hemorrhoids stage II-III.

scholarly journals The surgical correction of refractory venous trophic ulcers

2021 ◽  
pp. 38-46
Author(s):  
S. E. Katorkin ◽  
M. J. Kushnarchuk ◽  
M. A. Melnikov ◽  
A. A. Zhukov ◽  
P. F. Kravtsov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Comparison Group ◽  
Complete Healing ◽  
Long Term Results ◽  
Group Iii ◽  
Results Of Treatment ◽  
Group I ◽  
Group Ii ◽  
Shave Therapy

Objectives. To study the effectiveness of layered dermatolipectomy and endoscopic fasciotomy in the surgical treatment of refractory venous trophic ulcers.Materials and methods. Patients (n = 105) of the C6 clinical class underwent crossectomy and short stripping. In group I (n = 35), free autodermoplasty of trophic ulcers with a perforated flap was performed. In group II (n = 36), shave therapy and autodermoplasty were performed. In group IIІ (n = 34), fasciotomy, shave therapy and autodermoplasty were performed. Long-term results of treatment were studied in the period from 1 to 12 months.Results. Complete healing of venous trophic ulcers was observed in group I at 49,4 ± 7,2, in II – at 31,4 ± 4,7, in III – at 32,1 ± 3,6 days сутки (t1-2 = 2,09; p1-2 = 0,049; t1-3 = 2,24; p1-3 = 0,024; t2-3 = 0,03; p2-3 = 0,763). Full engraftment of an autograft graft was recorded in 7 (19,4 %) patients of group I, in 27 (77,1 %) cases in group II and in 27 (79,4 %) patients of comparison group III (χ21-2 = 23,674; p1-2 = 0,001; χ21-3 = 25,173; p1-3 = χ22-3 = 0,052; p2-3 = 0,826).Conclusion. Layered dermatolipectomy with autodermoplasty and endoscopic decompression fasciotomy is an effective method for the treatment of persistent refractory venous trophic ulcers.

scholarly journals COMPARATIVE EVALUATION OF THE BENEFITS OF ADJUNCTIVE USE OF LYCOPENE AND VITAMIN E IN NON-SURGICAL TREATMENT OF PERIODONTITIS : A RANDOMISED CLINICALAND MICROBIOLOGICAL STUDY

2020 ◽  
pp. 3-5
Author(s):  
Shrutika B. Borade ◽  
Akshaya Banodkar ◽  
Rajesh Gaikwad
Keyword(s):  
Surgical Treatment ◽  
Vitamin E ◽  
Test Score ◽  
Periodontal Diseases ◽  
Group Iii ◽  
Group I ◽  
Group Ii ◽  
Periodontal Healing ◽  
Non Surgical Treatment ◽  
Bana Test

Background-This study was aimed to compare and evaluate the benefits of adjunctive use of lycopene and vitamin E in the non-surgical treatment of periodontal diseases and effect of this treatment on the periodontal microflora. Methodology-Systemically healthy 30 chronic periodontitis patients were included in the study. periodontal examination was performed and BANA test score were obtained. patients were randomly divided into group-I, group-II and group-III. scaling and root planing was performed for all three groups. group-II and group-III were supplimented with lycopene (Lycostar) and Vit E(Evion 400mg)respectively for 1 month. PI, BOP, PPD, CAL and BANA test score were re-evaluated after 1 month. Result-Periodontal parameters and BANA test score were significantly reduced in both group-II and group-III as compared to group-I. Conclusion-Systemic administration of antioxidants improved periodontal healing and significantly reduced microbial load and can be used as an adjunct to non-surgical periodontal therapy.

Prolactin dynamics in patients with non-secreting tumours of the hypothalamic-pituitary region

1985 ◽  
Vol 110 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Antonino Barbarino ◽  
Laura De Marinis ◽  
Antonio Mancini ◽  
Edoardo Menini ◽  
Colomba D'Amico ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Positive Response ◽  
Dynamic Tests ◽  
Group Iii ◽  
Reliable Tool ◽  
Group I ◽  
Before And After ◽  
Tumour Group ◽  
Group Ii ◽  
Plasma Prl

Abstract. Twenty-four patients with non-secreting tumours of the hypothalamic-pituitary region, diagnosed by radiographic procedures and confirmed at surgery, were examined before and after the surgical treatment to establish a correlation between Prl responsiveness to dynamic tests and the location of pathological tissue. Three groups of patients were identified. In 10 patients with an intrasellar tumour (group I), Prl had a positive response to TRH, metoclopramide (MCP), and nomifensine (NOM), both pre- and postoperatively. In 4 patients with tumours located entirely in the hypothalamus (group II), Prl responded to TRH, but remained unresponsive to MCP and NOM. Only a partial normalization of the Prl responses was obtained after surgery. Finally, 10 patients had an intra- and extrasellar tumour (group III). In 8 of them Prl responded to TRH, but the increment was lesser than that observed in hypothalmic tumours. Prl did not respond to MCP and NOM. After surgery, Prl responsiveness reappeared in some patients (6 after TRH, 4 after MCP, 3 after NOM). In 2 patients with extensive pituitary damage, Prl did not respond to all dynamic tests pre- or postoperatively. In conclusion, Prl dynamic tests are a reliable tool for studying the altered control of Prl secretion in these patients, since plasma Prl stems from only normal lactotropes surrounding the tumoural tissue. The location of the tumour has a key role in influencing the pattern of Prl response to direct and indirect dynamic tests.

scholarly journals Analysis of postoperative strokes in patients after resection or suturing of the left atrial appendage

EP Europace ◽  
2021 ◽  
Vol 23 (Supplement_3) ◽  
Author(s):  
D Volkov ◽  
D Gorbunov ◽  
A Anohina ◽  
E Shulga ◽  
D Rygalov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cerebral Circulation ◽  
Myocardial Revascularization ◽  
Functional Class ◽  
Cardiac Pathology ◽  
Group Iii ◽  
Group I ◽  
Blood Clots ◽  
Group Ii

Abstract Funding Acknowledgements Type of funding sources: None. Introduction In 30%, the cause of strokes is AF. 90% of cases, thromboembolism occurs in the cerebral arteries, condemning the patient not only to disability, but also to death. Considering that the formation of blood clots occurs in hemodynamically inactive areas of the LA, which is the apendege of the LA, it is advisable to combine surgical treatment of AF with its exclusion from systemic blood flow. Purpose Analyze the frequency of strokes in the follow up period in patients who have undergone surgical treatment of AF in combination with LAA resection. Materials and Methods 364 patients were divided into 3 groups depending on the volume of operative treatment and the rhythm of the controlling strategy, 105 dropped out of the study due to the lack of data collection capability. • Group I included 80 patients who underwent surgical AF treatment with LAA resection combined with valvular pathology correction or myocardial revascularization. Lethal outcome in this group was recorded in 6 (7.5%) patients caused by non-cardiac pathology. Surgical treatment of AF was performed by MAZE IV and left side MAZE. •  Group II - 140 people who performed valve pathology correction, without surgical treatment of AF and without LAA resection. • Group III included 39 patients with a persistent form of AF who performed only LAA resection in combination with correction with another cardiac pathology. Group II and III mortality were 23 patients. All patients in group I and III underwent LAA resection to exclude a possible source of blood clots. The stump was sutured with a continuous two-row suture on the base up to 2 mm from the LA wall. After 36 months, patients from group I underwent echocardiography, electrocardiography, Holter monitoring, and a cardiologist examination. Group II and III analyses were performed by patient telemetry. Results • Long-term three-year results showed complete 100% freedom from acute cerebral circulation disorder in group I, where surgical treatment of AF was performed in combination with LAA resection; • In group I with a persistent form of AF without LAA resection - acute cerebral circulation disorder occurred in 36 patients, which was 28.8%; • In group III with permanent fibrillation with LAA resection, of the 31 patients, thromboembolic complication occurred in 4 patients (12.9%). It is worth noting that after surgery in the distant period, patients of group I increased the average value of the ejection fraction by 4%, decreased volumes of the LA, and the functional class on NYHA changed from III to II, I. Conclusion The study performed the highest degree of absence of stroke in group I in early and follow up period. First of all, this is due to a comprehensive approach to the treatment of cardiac pathology, the preservation of sinus rhythm and LAA resection. Which, in addition to absence of stroke, leads to an improvement in the quality of life and a decrease in the functional class of heart failure.

scholarly journals USE OF VALVE BRONCHIAL BLOCKING IN TREATMENTOF CHEMO-RESISTANT PULMONARY TUBERCULOSIS

2021 ◽  
Vol 29 (4) ◽  
pp. 10-14
Author(s):  
O. I. Shpak ◽  
◽  
V. B. Bychkovskyi ◽  
O. B. Randiuk ◽  
M. S. Opanasenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pulmonary Tuberculosis ◽  
Postoperative Period ◽  
Pleural Cavity ◽  
Subsequent Development ◽  
Volume Reduction ◽  
Bronchial Stump ◽  
Group Iii ◽  
Group I ◽  
Group Ii

O. I. Shpak, V. B. Bychkovskyi, O. B. Randiuk, M. S. Opanasenko, O. V. Tereshkovich, B. N. Konik, O. A. Gaidar, L. I. Levanda Аbstract Endoscopic bronchial valve blocking is a type of interventional bronchoscopy, which makes a therapeutic hypoventilation with the subsequent development of atelectasis in the affected area of the lung while maintaining the drainage function of the blocked bronchus and the cavity of destruction or closure of the bronchial defect by using an endobronchial valve. Aim: to evaluate the results valvular bronchial blocking in patients with chemo-resistant pulmonary tuberculosis (CRPTB) instead of surgical intervention or in the postoperative period. Materials and methods. 94 bronchial blockages were performed in patients with CRPTB. The patients were divided into three groups. Group I (36 patients) — a valve was placed during chemotherapy without surgical treatment. Group II (31 patients) — pyopneumothorax with destruction cavity discharge into the pleural cavity. Group III (27 patients) — volume reduction surgery(lobectomy, bilobectomy and pulmonectomy), complicated by the bronchial stump incompetency. Results. In group I favorable outcomes were observed in 27 cases (75,0 %). In patients with pneumothorax, complicated by empyema of the pleural cavity and bronchopulmonary fistula (group II) the favorable outcomes were achieved in 28 (90,3 %) patients. In postoperative patients, undergoing different volume reduction interventions (group III), favorable otcomes were registered in 23 (85,2 %) patients. Conclusion. Valvular bronchial blocking is highly effective method in the treatment of patients with CRPTB and certain complications (empyema of the pleural cavity with bronchopulmonary fistula, failure of the bronchial stump in the postoperative period), and in patients, who already underwent surgery, as well. Key words: chemo-resistant pulmonary tuberculosis, complications, bronchial valve blocking, surgical treatment.

Ovarian reserve in patients with borderline ovarian tumors after surgical treatment

2020 ◽  
pp. 21-25
Author(s):  
N. A. Chugunova ◽  
L. V. Pokul
Keyword(s):  
Surgical Treatment ◽  
Ovarian Reserve ◽  
Ovarian Tissue ◽  
Color Doppler ◽  
Ovarian Tumors ◽  
Reproductive Age ◽  
Group Iii ◽  
Borderline Ovarian Tumors ◽  
Group I ◽  
Group Ii

Borderline ovarian tumors are often diagnosed in women under the age of 40 years (31.8 %), which determines the need to optimize the management of this cohort of patients, taking into account the possibility of maintaining their reproductive function. Purpose of the study. Assessment of the ovarian reserve based on a comprehensive sonographic diagnosis of the ovarian reserve in patients of reproductive age with borderline ovarian tumors. Materials and methods. Group I (n = 103) included patients with borderline serous epithelial ovarian tumors. Group II (n = 95) was formed from women with mucinous epithelial ovarian tumors. Comparison group III (n = 189) included patients with benign ovarian cystadenomas. Ultrasound scanning of the pelvic organs and color Doppler mapping (DLC) were performed using Aloka 3500, Semiens G‑60 ultrasound scanners operating in real time and equipped with a pulsed doppler using a 3.5 MHz convex sensor and a 7.5 MHz transvaginal sensor. Results. The number of antral follicles does not depend on the volume of the ovary. The healthy remaining ovarian tissue of the ovary is most pronounced in groups I and III, significantly less represented in group II (p ≤ 0.0001). Three months after adnexectomy, ovulatory function in the intact (healthy) ovary was preserved in 71% (n = 49) of women from group I; in 89% (n = 73) of patients of group II and in 93% (n = 25) of respondents of group III, with a predominance in group II (φ* = 2.7; p ≤ 0.0010 and φ* = 1.6; p ≤ 0.0500). After a conservative operation, the function of the operated (resected) ovary detected ovulation in 62% (n = 21) of group I participants; 68% (n = 9) of women of group II and 86% (n = 139) of patients of group III. After 6 months, an increase in the number of antral ovaries and the number of ovulations with a predominance of ovarian reserve in group III (p ≤ 0.0010 and p ≤ 0.0001) was generally observed. Conclusions. Integrated ultrasound is a reliable and objective method that evaluates the features of the ovulatory reserve in patients with borderline and benign ovarian tumors, which makes it possible to formulate a prognosis of a woman’s reproductive health after various types of surgical treatment.

Sign in / Sign up

Export Citation Format

Share Document