Preview

Yakut Medical Journal

Advanced search

The Outcomes of Different Organ‐Preserving Treatment of Uterine Fibroids

Abstract

The article reports a prospective study of women with uterine fibroids. The patients went to the clinic for conservative myomectomy and uterine artery embolization. Endovascular UAE has proved to be the most effective method of UF treatment, having fibroid nodes in the size up to 10 cm with a good vascularization, as well as submucous nodes localization. Thus, UAE among patients with UF provides little traumatic intervention with good clinical effect and reduction in the size of the uterus, as well as preserves the uterus, which is especially important for women with unrealized reproductive function, having contraindications to surgery and categorical rejection of it. In this way, the optimal outcome of organ‐saving UF treatment is achieved not only due to the skill of the surgeon, the adequacy of the selected surgical approach, providing minimization of operational risks, but also due to a whole complex of measures, including diagnosing disorders in various links of reproductive system and rational management of pre‐ and post‐operative stages in accordance with complex rehabilitation.

About the Authors

E. V. Bashirov
Kuban state medical university
Russian Federation

Bashirov Eduard Vladimirovich– МD, Fundamental obstetric‐gynecological clinic of Kuban state medical university of Russian federation healthcare department

350072, Krasnodar, Zipovskaya street 4/1



T. V. Dedu
Medico‐stomatologic university of A. I. Evdokimov
Russian Federation

Dedy Tatyana Vladimirovna– the graduate student of chair of radiodiagnosis 

127206, Moscow, Vuchetich St., 9a



N. I. Duglas
North‐Eastern Federal University
Russian Federation

Duglas Natalia Ivanovna ‐ obstetrician‐gynecologist, MD, Head of the Department of Obstetrics and Gynecology Faculty of Postgraduate Training Medical Institute named after M.K. Ammosov 



References

1. Gur'eva V.А. Karpenko А.А. Borisova O.G. Mesto ehmbolizatsii matochnykh arterij v terapii miom matki [Place of uterine artery embolization in uterine fibroids treatment] Roscijskij vestnik akusherstva i ginekologii [Russian journal of Obstetrics and Gynecology]. 2008, Nо 2, pp. 40 ‐ 44.

2. Davydov А.I. Pankratov V.V. Yagudaeva I.P. Vosstanovitel'noe lechenie posle organosberegayushhikh operatsij u bol'nykh podslizistoj miomoj matki i adenomiozom [Medical rehabilitation after organ‐preserving surgery among patients with organ‐ submucosal uterine fibroids and adenomyosis]. Voprosy ginekologii, akusherstva i perinatologii [Issues of gynecology, obstetrics and perinatology]. 2011, Nо 10 (6), pp.13 ‐ 21.

3. Savel'eva G.M. Kurtser M.А. BreusenkoV.G. Endoskopicheskaya miomehktomiya: za i protiv[Endoscopic miomektomya: pros and cons]. Voprosy akusherstva, ginekologii i perinatologii [Questions of obstetrics, gynecology and perinatology]. 2007, V. 6, No 1, pp. 57‐60.

4. Long–term follow–up of uterine artery embolization for symptomatic adenomyosis / A.J. Smeets, R.J. Nijenhuis, P.F. Boekkooi [et al.] // Cardiovasc Intervent Radiol. – 2012. – V.35. – N4. – P. 815 – 824.

5. The effect of uterine fibroid embolization on lower urinary tract symptoms / D. Shveiky, C.B. Iglesia, D.D. Antosh [et al.] // Int Urogynecol J. – 2013. – V.24. – N 8. – P.1341–1346.

6. The responsiveness of the uterine fibroid symptom and health–related quality of life questionnaire (UFS–QOL) / G. Harding, K.S. Coyne, C.L. Thompson [et al.] // Health Qual Life Outcomes. – 2008. – V.12. – N 6. – 99 p.

7. Uterine artery embolization for symptomatic uterine fibroids / J.K. Gupta, A. Sinha, M.A. Lumsden [et al.] // Cochrane Database Syst Rev. – 2012. – V.16. – N 5. – CD005073.

8. Validation of the UFS–QOL–hysterectomy questionnaire: modifying an existing measure for comparative effectiveness research / K.S. Coyne, M.K. Margolis, J. Murphy [et al.] // Value Health. – 2012. – V.15. – N5. – P. 674–683.

9. Van der Kooij S.M. Review of nonsurgical/minimally invasive treatments for uterine fibroids / S.M. Van der Kooij, W.M. Ankum, W.J. Hehenkamp // Curr Opin Obstet Gynecol. – 2012. – V.24. – N 6. – P. 368 – 460.


Review

For citations:


Bashirov E.V., Dedu T.V., Duglas N.I. The Outcomes of Different Organ‐Preserving Treatment of Uterine Fibroids. Yakut Medical Journal. 2015;(4):7-10.

Views: 25


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1813-1905 (Print)
ISSN 2312-1017 (Online)