Аннотация:
The aim of the study is to assess the restoration of anatomical and functional integrity of the uterus and identify changes in hormonal profile in women after laparoscopic and abdominal myomectomy.
Material and methods. 58 patients aged 36,2 5,9 years old with uterine myoma underwent myomectomy: 31 patients underwent laparoscopic myomectomy and 27 patients underwent abdominal myomectomy.
The selection of surgical approach didnt depend on the size, the number and localization of uterine myomas and the patients concomitant pathology.
The hormonal profile of the patients including AMH level was assessed befor myomectomy and in the 6 months after the operation. Postoperative assessment was performed on day 5<sup>th</sup>8<sup>th</sup> after surgery and in 1 and 6 months after myomectomy.
Results. No significant differences were found in the processes of reparation of the uterus and in hormonal profile of the patients after laparoscopic or abdominal myomectomy. The time required for the patients reabilitation and for the restoration of the ovarian function and uterine morphological structure was similar in both groups.
Conclusion. The hormonal profile of the patients and the anatomical and functional restoration of myometrium after myomectomy doesnt depend on the surgical approach if myomectomy is performed by an experienced surgeon after the correct assessment of the clinical situation.
Van Y. Yan
Romadanova Y.A. Yuliya A.
Bakhvalova A.A. Alla A.
Fedina E.V. Ekaterina V.
Zinov’yev A.A. Aleksandr A.
Shabanova D.D. Dar’ya D.
Bryunin D.V. Dmitriy V.
Первый МГМУ им. И.М. Сеченова МЗ РФ
I.M. Sechenov First Moscow State Medical University
Center for Medical Prevention of the Moscow Department of Health
Assessment of reproductive potential in patients after myomectomy
Текст визуальный электронный
Архив акушерства и гинекологии им. В.Ф. Снегирева
Eco-Vector
Т. 8, № 1 С. 35-39
2021
репродуктивный потенциал
reproductive potential
рубец на матке после миомэктомии
uterine scar after myomectomy
миомэктомия
myomectomy
Статья
The aim of the study is to assess the restoration of anatomical and functional integrity of the uterus and identify changes in hormonal profile in women after laparoscopic and abdominal myomectomy.
Material and methods. 58 patients aged 36,2 5,9 years old with uterine myoma underwent myomectomy: 31 patients underwent laparoscopic myomectomy and 27 patients underwent abdominal myomectomy.
The selection of surgical approach didnt depend on the size, the number and localization of uterine myomas and the patients concomitant pathology.
The hormonal profile of the patients including AMH level was assessed befor myomectomy and in the 6 months after the operation. Postoperative assessment was performed on day 5<sup>th</sup>8<sup>th</sup> after surgery and in 1 and 6 months after myomectomy.
Results. No significant differences were found in the processes of reparation of the uterus and in hormonal profile of the patients after laparoscopic or abdominal myomectomy. The time required for the patients reabilitation and for the restoration of the ovarian function and uterine morphological structure was similar in both groups.
Conclusion. The hormonal profile of the patients and the anatomical and functional restoration of myometrium after myomectomy doesnt depend on the surgical approach if myomectomy is performed by an experienced surgeon after the correct assessment of the clinical situation.