Laparoscopy as a diagnostic and medical treatment method in pregnant patients with non- malignant ovary growths

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Abstract

Introductions. Non-malignant ovary growths are the serious problems of reproductive women health. Coming and prolongation of pregnancy are possible in women with ovary tumor.

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Introductions. Non-malignant ovary growths are the serious problems of reproductive women health. Coming and prolongation of pregnancy are possible in women with ovary tumor.

Material and methods. Laparotomy is a traditional method of treatment. Since 1996 year 262 expectant mothers were medicaly treated in Dp. Endoscopy Moscow Reg. Research Institute.

Results. There were four groups of women: the 1st group is 123 pregnant women in the IId term (16-18 weeks) who were treated by laparoscopy. Laparotomy was done in 40 patients (16-34 weeks) - it was the 2nd group. The 3rd group was 45 women who were moved of ovary tumors during the Cesarean section. The 4-th group was 54 patients operated by laparoscopy in 6 - 9 days after delivery.

The 16—18 weeks of pregnancy is the optimal period for surgical manipulation because the placenta is organized. Also the uterine size allows to carry out the surgical treatment.

Conclusions. There are some particular qualities of laparoscopy in pregnant women: the “open” method, low level of cavity pressure, “uncommon” places for trocar introduction, using the short-term relaxin. The prolonged therapy is used 2-3 days before the operative treatment and in postoperative period. So it reduces the postoperative risk.

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About the authors

A. A. Popov

Dp. Endoscopy Moscow Reg. Research Institute

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

Т. N. Manannikova

Dp. Endoscopy Moscow Reg. Research Institute

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

М. R. Ramazanov

Dp. Endoscopy Moscow Reg. Research Institute

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

О. G. Kirushkina

Dp. Endoscopy Moscow Reg. Research Institute

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

N. А. Chausova

Dp. Endoscopy Moscow Reg. Research Institute

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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