The evaluation of organ-saved surgery of benign tumors of uterus and adnexa

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Abstract

Objective: the grounding and optimization of organ-saved surgery in treatment of uterine fibroid and benign ovarian cystadenomas.

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Objective: the grounding and optimization of organ-saved surgery in treatment of uterine fibroid and benign ovarian cystadenomas.

Materials and methods. The cohort study of patients with benign ovarian and uterine tumors included all operated women of Department of obstetrics and gynecology of Medical-Military Academy in period of 1991 - 1999 yy and National medical-surgical centre named after N.I. Pirogov in period of 1996 - 2004 yy. The investigations value comprised medical history, bimanual exam, colpocytology and vaginal pH measurement. The laboratory investigations were the following: CBC and urinoscopy, blood biochemistry, FSH, LH, E2, progesterone, testosterone, TSH, T3 and T4 blood concentrations. Mammography and pelvic ultrasound were performed in all patients. The evaluation of life-quality was carried out with questionnaire SF-36. Also the modified menopausal index was defined which was worked out in Scientific Centre of Obstetrics, Gynecology and Perinatology, RAMS (Kulakov and co., 1996)

Results. Results of our investigations justified the necessity of widening of indications for surgery saved anatomo-functional interrelation in patients with uterine fibroid. It is need to be further evaluated such important criteria as “oncological risk”. There was worked out the new classification of organ-saved and conservative operations of uterus and adnexa.

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About the authors

I. Р. Zarubenko

National medical-surgical centre named after N.I. Pirogov, Ministry of Health of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

I. I. Ermolinskiy

National medical-surgical centre named after N.I. Pirogov, Ministry of Health of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

А. I. Меlˊkо

National medical-surgical centre named after N.I. Pirogov, Ministry of Health of the Russian Federation

Email: info@eco-vector.com
Russian Federation, Moscow

Е. F. Kira

National medical-surgical centre named after N.I. Pirogov, Ministry of Health of the Russian Federation

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия Эл № 77 - 6389
от 15.07.2002 г.



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