Мать и дитя в Кузбассе (Nov 2022)
COMPARATIVE CHARACTERISTICS OF THE EFFECT OF SURGICAL TREATMENT METHODS FOR CYSTECTOMY ON THE FOLLICULAR RESERVE OF OVARY
Abstract
Benign ovarian tumors – volumetric formations growing from the ovarian tissue, occur at any age, reduce the reproductive potential of a woman, serve as an indication for surgical treatment, since they have a high risk of malignancy. The aim is to conduct a comparative assessment of the methods of surgical treatment of benign ovarian cysts and their effect on the follicular reserve. Materials and methods. For a comparative assessment of the traumatic impact on the inner surface of the cyst capsule, depending on the chosen surgical method, 37 patients with a benign ovarian tumor with a diameter of 3.5 cm to 8 cm were randomly selected. The candidates were divided into two groups depending on the surgical method used. The age interval of the observed was 18-49 years. Results. Ultrasound examination revealed that the formations were represented by endometrioid cysts and smooth-walled serous cystadenomas with a distribution of 11 and 8 patients from group No. 1, respectively. These pathologies in group No. 2 were distributed among 10 and 8 women. Among the most common gynecological pathologies in control patients were noted: inflammatory diseases of the appendages, the vaginal part of the cervix. Hormone therapy was carried out for 3-4 months for ovarian cysts, and only 30% of patients had a partial temporary effect. Patients did not receive hormone therapy during the study period. During a bimanual examination, moderate pain in the area of the appendages in the presence of a benign ovarian tumor was indicated by 12 (63.1 %) patients of the 1st and 10 (55.5 %) patients of the 2nd group. Conclusion. The impact of bipolar energy on the cyst capsule allows you to save healthy tissue and volume of the ovary, thereby subsequently contributing to the preservation of the ovarian reserve.
