Abstract
Relevance. Severe forms of adenomyosis still remain a serious gynecological problem regarding reproductive outcomes. There are about 93% of unsuccessful results after conservative treatment of this pathology what makes doctors search new solutions of this disease.Objectives: improving the efficiency of organ-preserving surgical treatment of patients with severe forms of adenomyosis using the method of adenomyomectomy by Japanese professor H. Osada.Materials and methods. 18 patients with adenomyosis were operated by the method of H. Osada from 2012 to 2016 by the staff of the Krasnoyarsk state medical University.Results. Period of following up the operated patients currently ranges from 2 to 42 months. Normalization of menstrual function is observed in all women (100%). The resumption of the pathological symptoms of the disease are not registered. Spontaneous pregnancy occurred in two women, ended by cesarean delivery and birth of live full-term babies. Currently 7 patients are receiving postoperative hormonal treatment and 6 patients are planning their pregnancy with the help of reproductive technologies.Conclusion. Organ-saving surgery of severe adenomyosis by the method of H. Osada is a good alternative to hysterectomy in such group of patients; it stops the development of pathological symptoms of the disease, and in some cases facilitates woman’s reproductive function.
Highlights
Osada is a good alternative to hysterectomy in such group of patients; it stops the development of pathological symptoms of the disease, and in some cases facilitates woman’s reproductive function
Войно-Ясенецкого» Министерства здравоохранения РФ, Ministry of Health of Russian Federation, Krasnoyarsk, Russia
Summary
Опыт органосохраняющего хирургического лечения больных с тяжелыми формами аденомиоза. Цель работы: повышение эффективности органосохраняющего оперативного лечения больных с тяжелыми формами аденомиоза при помощи метода аденомиомэктомии Х. Objectives: improving the efficiency of organ-preserving surgical treatment of patients with severe forms of adenomyosis using the method of adenomyomectomy by Japanese professor H. Osada is a good alternative to hysterectomy in such group of patients; it stops the development of pathological symptoms of the disease, and in some cases facilitates woman’s reproductive function. В настоящее время с развитием новых оперативных технологий в гинекологии появились новые возможности оперативного лечения аденомиоза, которые позволяют не только восстановить анатомию патологически измененной матки, но и ликвидировать тяжелые клинические проявления заболевания, а также восстановить утраченную детородную функцию у пациенток репродуктивного возраста [4, 6, 8]. Эта оперативная методика показала свою высокую эффективность в устранении симптомов заболевания и восстановлении репродуктивной функции, а также малое количество рецидивов заболевания (при длительности наблюдения около 10 лет) [10]
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