Email this article Assessment of reproductive potential in patients after myomectomy
- Authors: Van Y.1, Romadanova Y.A.1, Bakhvalova A.A.1, Fedina E.V.1, Zinov’yev A.A.1, Shabanova D.D.2, Bryunin D.V.1
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Affiliations:
- I.M. Sechenov First Moscow State Medical University
- Center for Medical Prevention of the Moscow Department of Health
- Issue: Vol 8, No 1 (2021)
- Pages: 35-39
- Section: Original study articles
- URL: https://archivog.com/2313-8726/article/view/63317
- DOI: https://doi.org/10.17816/2313-8726-2021-8-1-35-39
- ID: 63317
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Abstract
The aim of the study is to assess the restoration of anatomical and functional integrity of the uterus and identify changes in hormonal profile in women after laparoscopic and abdominal myomectomy.
Material and methods. 58 patients aged 36,2 ± 5,9 years old with uterine myoma underwent myomectomy: 31 patients underwent laparoscopic myomectomy and 27 patients underwent abdominal myomectomy.
The selection of surgical approach didn´t depend on the size, the number and localization of uterine myomas and the patient´s concomitant pathology.
The hormonal profile of the patients including AMH level was assessed befor myomectomy and in the 6 months after the operation. Postoperative assessment was performed on day 5th–8th after surgery and in 1 and 6 months after myomectomy.
Results. No significant differences were found in the processes of reparation of the uterus and in hormonal profile of the patients after laparoscopic or abdominal myomectomy. The time required for the patients´ reabilitation and for the restoration of the ovarian function and uterine morphological structure was similar in both groups.
Conclusion. The hormonal profile of the patients and the anatomical and functional restoration of myometrium after myomectomy doesn´t depend on the surgical approach if myomectomy is performed by an experienced surgeon after the correct assessment of the clinical situation.
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About the authors
Yan Van
I.M. Sechenov First Moscow State Medical University
Author for correspondence.
Email: wangyang1990@mail.ru
ORCID iD: 0000-0003-1003-6261
graduate student
Russian Federation, Moscow, 119435Yuliya A. Romadanova
I.M. Sechenov First Moscow State Medical University
Email: julia.romadanova@mail.ru
ORCID iD: 0000-0002-4106-8218
Ph.D.
Russian Federation, Moscow, 119435Alla A. Bakhvalova
I.M. Sechenov First Moscow State Medical University
Email: allbak0202@yandex.ru
ORCID iD: 0000-0002-3966-3296
Ph.D.
Russian Federation, Moscow, 119435Ekaterina V. Fedina
I.M. Sechenov First Moscow State Medical University
Email: kate-happy@mail.ru
Ph.D.
Russian Federation, Moscow, 119435Aleksandr A. Zinov’yev
I.M. Sechenov First Moscow State Medical University
Email: acustic3d@mail.ru
Russian Federation, Moscow, 119435
Dar’ya D. Shabanova
Center for Medical Prevention of the Moscow Department of Health
Email: brunina77@gmail.com
ORCID iD: 0000-0003-3514-535X
Russian Federation, 123060, Moscow
Dmitriy V. Bryunin
I.M. Sechenov First Moscow State Medical University
Email: Bryun777@mail.ru
ORCID iD: 0000-0002-5969-4217
Doctor of Medical Sciences, Professor
Russian Federation, Moscow, 119435References
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