Abstract

Uterine fibroids, which, according to various estimates, are found in 50% of cases, is the most common benign disease of the female genital area. A radical method of treating this disease is surgical removal. In radical operations are actively used bi- and monopolar cauters, both for cutting and for coagulation. After such an exposure necrotic scars are often formed, leading to gross deformations of the tissue and, as a consequence, to the impossibility of a normal onset and course of pregnancy. The question of studying postoperative myometrium scars at the ultrastructural level, with the aim of possible optimization of physical parameters for the most gentle operation, is highly important, since allows to estimate changes in tissues at the level of cellular and subcellular structures. At the moment, this experience is absent in our country. The electron microscopic investigation of a myometrium subjected to an electric current is considered in the article.

Highlights

  • Uterine fibroids, which, according to various estimates, are found in 50% of cases, is the most common benign disease of the female genital area

  • In radical operations are actively used bi- and monopolar cauters, both for cutting and for coagulation

  • The question of studying postoperative myometrium scars at the ultrastructural level, with the aim of possible optimization of physical parameters for the most gentle operation, is highly important, since allows to estimate changes in tissues at the level of cellular and subcellular structures. This experience is absent in our country

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Summary

Introduction

Uterine fibroids, which, according to various estimates, are found in 50% of cases, is the most common benign disease of the female genital area. При этом активно используются би- и монополярные каутеры как для рассечения тканей, так и для коагуляции. Вопрос изучения морфологии послеоперационного рубца миометрия на ультраструктурном уровне с целью возможной оптимизации физических параметров оперирования имеет большое значение, так как позволяет оценить изменения в тканях на уровне клеточных и субклеточных структур.

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