Obstetrics and GynecologyObstetrics and GynecologyАкушерство и гинекология0300-90922412-5679Bionika Media247473ArticlesСтатьиResearch ArticleDeep infiltrating endometriosis: Postoperative recurrences and possible ways of their preventionГлубокий инфильтративный эндометриоз: послеоперационные рецидивы и возможные пути их профилактикиChernukhaG. EЧернухаГалина Евгеньевна

MD, Head of the Department of gynecology endocrinology

д.м.н., профессор, руководитель отделения гинекологической эндокринологии

g_chernukha@oparina4.ruIlyinaLilia MikhailovnaИльинаЛилия Михайловна

PhD, secretary

к.м.н., секретарь

bseiljina@mail.ruAdamyanLeila V.АдамянЛейла Владимировна

Academician of RAS, MD, PhD, Professor, Honored Master of Science of the Russian Federation, Head Specialist in Obstetrics and Gynecology of Ministry of Healthcare and Social Development of Russia, Head of the Department of Surgical Gynecology of Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Head of the Department of Reproductive Medicine and Surgery, Faculty of Postgraduate Education, Moscow State University of Medicine and Dentistry.

д.м.н., профессор, академик РАН, заслуженный деятель науки РФ, главный специалист по акушерству и гинекологии Министерства здравоохранения РФ, руководитель отделения оперативной гинекологии; зав. кафедрой репродуктивной медицины и хирургии факультета постдипломного образования МГМСУ

Adamyanleila@gmail.comPavlovichStanislav VladislavovichПавловичСтанислав Владиславович

MD, PhD, Secretary

к.м.н.,ученый секретарь

stpavlovich@mail.ruResearch Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of RussiaФГБУ Научный центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова Минздрава РоссииAssociaton of Gynecological EndocrinologistsАссоциация гинекологов-эндокринологов150820158NO8 (2015)№8 (2015)394618022023Copyright ©; 2015, Bionika MediaCopyright ©; 2015, ООО «Бионика Медиа»2015Bionika MediaООО «Бионика Медиа»https://journals.eco-vector.com/0300-9092/article/view/247473

Endometriosis is one of the rather common gynecological diseases and diagnosed in 10% of reproductive-aged women. The problem of endometriosis is assuming an increasing sociomedical importance, which is due to the severe clinical manifestations and recurrent course of the disease, which have a negative impact on quality of life and working ability in women. The review discusses the high rate and unpredictability of recurrences of deep infiltrating endometriosis after surgical treatment. Adequate postoperative drug therapy is important for the prevention of recurrent pelvic pain and endometriotic foci and can reduce poor health consequences for women when repeated and more radical surgical interventions are needed.

Эндометриоз относится к числу достаточно распространенных гинекологических заболеваний и диагностируется у 10% женщин репродуктивного возраста. Проблема эндометриоза приобретает все большее медико-социальное значение, что связано с тяжелыми клиническими проявлениями и рецидивирующим течением заболевания, оказывающими негативное влияние на качество жизни и трудоспособность женщин. В статье обсуждается высокая частота и непредсказуемость возникновения рецидивов глубокого инфильтративного эндометриоза после хирургического лечения. Адекватная послеоперационная медикаментозная терапия является важной мерой профилактики рецидивов тазовой боли и очагов эндометриоза и позволяет снизить неблагоприятные последствия для здоровья женщин в случае необходимости повторных и более радикальных хирургических вмешательств.

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