Опыт применения органосохраняющего подхода при перекруте придатков матки у девочек-подростков

Abstract

Uterine appendage torsion (UAT) is always an urgent and dangerous pathology that requires surgical treatment. UAT in childhood and adolescence is more common than in women of reproductive age, which is due to the anatomical characteristics of the puberty period. Female adolescents are a special group that requires maximum focus on preserving reproductive function and ovarian reserve. The choice of the optimal surgical treatment volume for female patients with UAT is currently debatable. If previously the only correct solution in UAT was an adnexectomy, at the moment the treatment tactics began to change towards organ-preserving surgeries. In order to assess the efficacy and safety of performing organ-preserving surgeries for UAT, we retrospectively analyzed the medical histories of 24 female patients from 3 to 18 years old. The clinical cases of three female patients who underwent detorsion are presented. In all cases, the surgery was performed successfully. At the present stage, organ-preserving surgical tactics for UAT in female adolescents are preferable, since it allows preserving the reproductive potential of young generation, which is a priority area of pediatric and adolescent gynecology. KEYWORDS: female adolescents, acute abdomen, uterine appendages, torsion, diagnosis, organ-preserving surgery, detorsion. FOR CITATION: Selikhova M.S., Yakhontova M.A., Zvereva E.S., Kalacheva L.S. Organ-sparing approach for the uterine appendage torsion in female adolescents. Russian Journal of Woman and Child Health. 2024;7(1):45–50 (in Russ.). DOI: 10.32364/2618-8430-2024-7-1-7.