Possibilities of argon plasma coagulation in the combination therapy of severe endometriosis


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Abstract

Objective. To assess a combination of surgery and drug, antirecurrent therapy for severe genital endometriosis. Subject and methods. Fifty-nine patients with severe genital endometriosis were examined. Group 1 included 33 women whose surgical treatment used argon plasma coagulation (APC) in combination with dienogest 2 mg as antirecurrent therapy; Group 2 comprised 11 patients who received APC during surgery and antirecurrent therapy with gonadotropin-releasing hormone (GnRH) agonists; Group 3 consisted of women operated on by conventional procedures without APC, followed by therapy with GnRH agonists. Results. Groups 1 and 2, as compared to Group 3, exhibited a significant reduction in pain syndrome and in the postoperative adhesion formation process verified by relaparoscopy. Conclusion. With APC, followed by therapy with dienogest (visanne), the conception rate is 1.5-fold higher than that with standard energies, followed by therapy with GnRH agonists.

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About the authors

Evgenyi Yuryevich Glukhov

Central City Hospital Seven

Email: dok@cgb7.ru
PhD, Deputy chief medical officer of CCH #7, associate professor of the Department for Obstetrics and Gynecology, Ural State Medical University Yekaterinburg

Tatyana Anatolyevna Oboskalova

Ural State Medical University, Ministry of Health of Russia

Email: oboskalova.tat@yandex.ru
MD, Head of the Department for Obstetrics and Gynecology Yekaterinburg

Andrey Vladimirovich Urakov

Central City Hospital Seven

Email: av_gyn@mail.ru
doctor of gynecology department CCH #7, PhD student of Department for Obstetrics and Gynecology, Ural State Medical University, Yekaterinburg. 6200137, Russian Federation Yekaterinburg

References

  1. Адамян Л.В., Андреева Е.Н. Роль современной гормономодулирующей терапии в комплексном лечении генитального эндометриоза. Проблемы репродукции. 2011; 6: 1-12
  2. Овсянникова Т.В., Ардус Ф.А. Диагностика и лечение бесплодия, обусловленного генитальным эндометриозом. Российский вестник акушера-гинеколога. 2008; 4: 98-100
  3. Чернуха Г.Е. Эндометриоз и хроническая тазовая боль: причины и последствия. Проблемы репродукции. 2011; 6: 13-9
  4. Ballweg M.L. Treating endometriosis in adolescents: does it matter? J. Pediatr. Adolesc. Gynecol. 2011; 24(5, Suppl.): S2-6
  5. Доброхотова Ю.Э., Грудкин А.А. Качество жизни больных с эндометриозом. В кн.: Материалы XI Российского форума «Мать и дитя». М.; 2010: 359-60
  6. Kondo W., Bourdel N., Zomer M., Slim K., Rabischong B., Pouly J. et al. Laparoscopic cystectomy for ovarian endometrioma - a simple stripping technique should not be used. J. Endometr. 2011; 3(3): 125-34
  7. Прилепская В.Н. Эндометриоз и контрацептивные гормоны: возможности и перспективы. Трудный пациент. 2007; 1: 5-9

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