The role of the out-patient hysteroscopy in treatment of patients with submucous fibroid
Abstract
A new operating procedure of G0 submucous fibroid was developed based on the analysis of 39 office hysteroscopic myomectomies performed with small - diameter hysteroscope (4 - 5 mm) and diode laser. To conduct comparative analysis of the suggested and conventional technique of myomectomy patients were subdivided into 2 main groups and one control group, each group consisted of 13 individuals. The usage of the suggested technique during the surgery, as compared to the conventional techniques of myomectomies, made it possible to reduce the duration of the surgery, to decrease intraoperative blood loss, and to avoid traumatization of the cervix uteri.
About the Authors
O. V. Safronov
ФГБОУ ВО «Южно - уральский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
E. V. Briukhina
ФГБОУ ВО «Южно - уральский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
L. E. Safronova
ФГБОУ ВО «Южно - уральский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
L. S. Ishchenko
ФГБОУ ВО «Южно - уральский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
G. N. Mshak-Manukyan
ФГБОУ ВО «Южно - уральский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
References
1. Адамян Л.В., ред. Миома матки: диагностика, лечение и реабилитация. Клинические рекомендации по ведению больных. М.; 2014. 94c.
2. Сидорова И.С., ред. Миома матки (современные проблемы этиологии, патогенеза, диагностики и лечения). М.: МИА; 2002. 265с.
3. Myomas and reproductive function. Fertil. Steril. 2008; 90(5, Suppl.): 125 - 30. doi: 10.1016/j.fertnstert.2008.09.012.
4. Somigliana E., Vercellini P., Daguati R., Pasin R., De Giorgi O., Crosignani P.G. Fibroids and female reproduction: a critical analysis of the evidence. Hum. Reprod. Update. 2007; 13(5): 465 - 76.
5. Di Spiezio Sardo A., Mazzon I., Bramante S., Bettocchi S., Bifulco G.,Guida M. et al. Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum. Reprod. Update. 2008; 14(2): 101 - 19.
6. Hysteroscopicmorcellation of uterine leiomyoma (fibroids). https://www.nice.org.uk/guidance/ipg522
7. Bettocchi S., Ceci O., Nappi L., Di Venere R., Masciopinto V., Pansini V. et al. Operative office hysteroscopy without anesthesia: analysis of 4863 cases performed with mechanical instruments. J. Am. Assoc. Gynecol. Laparosc. 2004; 11(1): 59 - 61.
8. Gallinat A. Hysteroscopic treatment of submucous fibroids using the d: YAG laser and modern electrical equipment. In: Leuken R.P., Gallinat A., eds. Endoscopic Surgery in Gynecology. Berlin: Demeter Verlag; 1994: 72 - 88.
9. Lasmar R.B., Dias R., Mussel Barrozo P.R., Pereira Modotte W., Baltar da Rosa D., Camara Medeiros Parente R. et al. Hysteroscopic Myomectomy. Braz. J. Video - Sur. 2008; 1(4): 163 - 70.
10. Haimovich S., Lopez-Yarto M., Urresta Avila J., Saavedra Tascon A., Hernandez J.L., Carreras Collado R. Office Hysteroscopic Laser Enucleation of Submucous Myomas without Mass Extraction: A Case Series Study. Biomed Res Int. 2015; 2015: 255 - 261. doi: 10.1155/2015/905204.
Review
For citations:
Safronov OV, Briukhina EV, Safronova LE, Ishchenko LS, Mshak-Manukyan GN. The role of the out-patient hysteroscopy in treatment of patients with submucous fibroid. Ural Medical Journal. 2018;(1):113-117. (In Russ.)
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