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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">V.F.Snegirev Archives of Obstetrics and Gynecology</journal-id><journal-title-group><journal-title xml:lang="en">V.F.Snegirev Archives of Obstetrics and Gynecology</journal-title><trans-title-group xml:lang="ru"><trans-title>Архив акушерства и гинекологии им. В.Ф. Снегирева</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2313-8726</issn><issn publication-format="electronic">2687-1386</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">626391</article-id><article-id pub-id-type="doi">10.17816/aog626391</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Clinical case reports</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Клинические случаи</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>Clinical case reports</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Surgical techniques in the treatment of a patient of reproductive age with giant uterine myoma</article-title><trans-title-group xml:lang="ru"><trans-title>Хирургическая тактика при лечении пациентки репродуктивного возраста с гигантской миомой матки</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>治疗育龄期巨大子宫肌瘤患者的手术策略</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5733-953X</contrib-id><name-alternatives><name xml:lang="en"><surname>Ishchenko</surname><given-names>Anatolii I.</given-names></name><name xml:lang="ru"><surname>Ищенко</surname><given-names>Анатолий Иванович</given-names></name><name xml:lang="zh"><surname>Ishchenko</surname><given-names>Anatolii I.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><email>7205502@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4476-4972</contrib-id><name-alternatives><name xml:lang="en"><surname>Ishchenko</surname><given-names>Anton A.</given-names></name><name xml:lang="ru"><surname>Ищенко</surname><given-names>Антон Анатольевич</given-names></name><name xml:lang="zh"><surname>Ishchenko</surname><given-names>Anton A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine)</p></bio><email>ra2001_2001@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8547-6750</contrib-id><name-alternatives><name xml:lang="en"><surname>Khokhlova</surname><given-names>Irina D.</given-names></name><name xml:lang="ru"><surname>Хохлова</surname><given-names>Ирина Дмитриевна</given-names></name><name xml:lang="zh"><surname>Khokhlova</surname><given-names>Irina D.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine)</p></bio><email>irhohlova5@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1540-5628</contrib-id><name-alternatives><name xml:lang="en"><surname>Dzhibladze</surname><given-names>Tea A.</given-names></name><name xml:lang="ru"><surname>Джибладзе</surname><given-names>Теа Амирановна</given-names></name><name xml:lang="zh"><surname>Dzhibladze</surname><given-names>Tea A.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор</p></bio><bio xml:lang="zh"><p>MD, Dr. Sci. (Medicine), Professor</p></bio><email>djiba@bk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5399-7586</contrib-id><name-alternatives><name xml:lang="en"><surname>Komarova</surname><given-names>Anna D.</given-names></name><name xml:lang="ru"><surname>Комарова</surname><given-names>Анна Дмитриевна</given-names></name><name xml:lang="zh"><surname>Komarova</surname><given-names>Anna D.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>graduate student</p></bio><bio xml:lang="ru"><p>аспирант</p></bio><bio xml:lang="zh"><p>graduate student</p></bio><email>dr.ailar7@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3435-4590</contrib-id><name-alternatives><name xml:lang="en"><surname>Gorbenko</surname><given-names>Oksana Y.</given-names></name><name xml:lang="ru"><surname>Горбенко</surname><given-names>Оксана Юрьевна</given-names></name><name xml:lang="zh"><surname>Gorbenko</surname><given-names>Oksana Y.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine)</p></bio><email>go2601@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0144-4984</contrib-id><name-alternatives><name xml:lang="en"><surname>Gadaeva</surname><given-names>Irina V.</given-names></name><name xml:lang="ru"><surname>Гадаева</surname><given-names>Ирина Викторовна</given-names></name><name xml:lang="zh"><surname>Gadaeva</surname><given-names>Irina V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine)</p></bio><email>irina090765@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8125-1829</contrib-id><name-alternatives><name xml:lang="en"><surname>Chushkov</surname><given-names>Yurii V.</given-names></name><name xml:lang="ru"><surname>Чушков</surname><given-names>Юрий Васильевич</given-names></name><name xml:lang="zh"><surname>Chushkov</surname><given-names>Yurii V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine)</p></bio><email>obstetrics-gynecology@list.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-5235-1814</contrib-id><name-alternatives><name xml:lang="en"><surname>Tevlina</surname><given-names>Ekaterina V.</given-names></name><name xml:lang="ru"><surname>Тевлина</surname><given-names>Екатерина Владимировна</given-names></name><name xml:lang="zh"><surname>Tevlina</surname><given-names>Ekaterina V.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>tevlina.ekaterina@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6603-804X</contrib-id><name-alternatives><name xml:lang="en"><surname>Ageev</surname><given-names>Mikhail B.</given-names></name><name xml:lang="ru"><surname>Агеев</surname><given-names>Михаил Борисович</given-names></name><name xml:lang="zh"><surname>Ageev</surname><given-names>Mikhail B.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine), Assistant Professor</p></bio><bio xml:lang="ru"><p>канд. мед. наук, доцент</p></bio><bio xml:lang="zh"><p>MD, Cand. Sci. (Medicine), Assistant Professor</p></bio><email>mikhaageev@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-8753-8433</contrib-id><name-alternatives><name xml:lang="en"><surname>Ozdemir</surname><given-names>Adelina G.</given-names></name><name xml:lang="ru"><surname>Оздемир</surname><given-names>Аделина Гёзде</given-names></name><name xml:lang="zh"><surname>Ozdemir</surname><given-names>Adelina G.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>student</p></bio><bio xml:lang="ru"><p>студентка</p></bio><bio xml:lang="zh"><p>student</p></bio><email>Adelina.ozdemir00@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет им. И.М. Сеченова</institution></aff><aff><institution xml:lang="zh">I.M. Sechenov First Moscow State Medical University</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Center of Gynecology and Reproductive Technologies of NMIC “Medical and Rehabilitation Center”</institution></aff><aff><institution xml:lang="ru">Центр гинекологии и репродуктивных технологий НМИЦ «Лечебно-реабилитационный центр»</institution></aff><aff><institution xml:lang="zh">Center of Gynecology and Reproductive Technologies of NMIC “Medical and Rehabilitation Center”</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2024-06-04" publication-format="electronic"><day>04</day><month>06</month><year>2024</year></pub-date><pub-date date-type="pub" iso-8601-date="2024-07-11" publication-format="electronic"><day>11</day><month>07</month><year>2024</year></pub-date><volume>11</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>213</fpage><lpage>220</lpage><history><date date-type="received" iso-8601-date="2023-12-11"><day>11</day><month>12</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2024-02-05"><day>05</day><month>02</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2024,</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2026-07-11"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://archivog.com/2313-8726/article/view/626391">https://archivog.com/2313-8726/article/view/626391</self-uri><abstract xml:lang="en"><p>The paper presented a clinical case of organ-saving surgical treatment for giant uterine myoma with secondary changes in a 36-year-old woman with unrealized reproductive function. The case testifies to the expediency of an individual approach to each patient with such neoplasms both at examination and during intra- and postoperative management.</p></abstract><trans-abstract xml:lang="ru"><p>Представленный клинический случай органосберегающего хирургического лечения по поводу гигантской миомы матки со вторичными изменениями у женщины 36 лет с нереализованной репродуктивной функцией свидетельствует о целесообразности индивидуального подхода к каждой пациентке с подобными новообразованиями как при обследовании, так и в процессе интра- и послеоперационного ведения.</p></trans-abstract><trans-abstract xml:lang="zh"><p>本文介绍了一个临床病例，该病例是一名36岁的妇女因巨大子宫肌瘤伴继发性病变而接受的保全器官手术治疗，她的生殖功能尚未恢复。这表明，无论是在检查时还是在术中、术后处理过程中，对此类肿瘤患者采取因人而异的治疗方法都是非常可取的。</p></trans-abstract><kwd-group xml:lang="en"><kwd>giant myoma</kwd><kwd>reproductive age</kwd><kwd>organ-preserving surgical treatment</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>гигантская миома</kwd><kwd>репродуктивный возраст</kwd><kwd>органосберегающее оперативное лечение</kwd></kwd-group><kwd-group xml:lang="zh"><kwd>巨大肌瘤</kwd><kwd>育龄期</kwd><kwd>保留器官的手术治疗</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Yang W, Bryunin DV, Zuev VM, et al. 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