Сибирский научный медицинский журнал (Nov 2024)
Evaluation of the endovideosurgical treatment efficacy of patients with various forms of infertility in a gynecological hospital
Abstract
Infertility is a condition of the reproductive system, which is expressed in the absence of clinical pregnancy after 12 months of regular sexual activity without contraception. Despite the achievements of reproductive medicine, the problem of infertile marriage is far from being resolved. Restoring fertility in married couples requires rapid development of medical technologies in the field of reproductive medicine. Currently, cystectomies and myomectomies of various localizations are performed endoscopically. The undoubted advantages of laparoscopic operations are a decrease in the severity of pain syndrome, shortening the period of hospital stay after surgical treatment, and early activation of patients, as well as improvement the quality of care and increase the likelihood of spontaneous pregnancy. Aim of the study was to evaluate the effectiveness of endovideosurgical treatment of patients with various forms of infertility in a gynecological hospital. Material and methods. A statistical review of the medical documentation of the gynecological department of the Simferopol City Clinical Maternity Hospital No. 1 for 2020 was performed, data from 105 women of reproductive age (from 22 to 43 years) who underwent surgical treatment for infertility were analyzed. The patients were divided into six groups according to nosological units. The results and discussion. 47 women (44.76 %) became pregnant. In group 1 (N97.0, n = 20), 11 (55 %) became pregnant, in group 2 (n = 41), 18 (43.9 %) became pregnant. In group 3 (N97.2, n = 2), pregnancy did not occur (0 %). In group 4 (N97.3, n = 1), pregnancy did not occur after surgical treatment (0 %). In group 5 (N97.8, n = 8), two patients became pregnant (25 %). In group 6 (N97.8, n = 33), 16 (48.5 %) became pregnant. Conclusions. A positive relationship between surgical treatment of patients with various causes of infertility and the frequency of pregnancy in the natural cycle was revealed, which indicates the need for endoscopic diagnostic and therapeutic procedures to restore fertility.
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