Year: 2024
Type: article
Abstract: The objective: to learn clinical aspects for women with the anaemic form of apoplexy and func-tional ovarian cysts. Materials and methods. It was conducted clinical-and-laboratory inspection 140 women from which - 65 patients with the anaemic form of ovarian apoplexy, that first added to the laparoscopic operations. These patients were plugged in prospective research and part on two groups depend-ing on the method to hemostasis used during an operation. A to 1 group entered 35 patients, hemostasis which carried out by bipolar coagulation, in 2 groups – 30 patients, bleeding from an ovary in which was shut-down by imposition of suturing. In that or other group patients were taken away by a «blind» method. The group of comparison was made 35 patients from laparoscopic by the confirmed pain form of ovarian apoplexy and functional ovarian cysts of ovaries which got conservative treatment.Results. Working out the total of analysis of results of preoperative inspection, maybe, that more than half of the patients ere on a daily basis, whether they were provocative officials of ovarian apoplexy. The investigated groups did not differ on character of clinical displays of anaemic form of ovarian apoplexy, to frequency of anaemia, ultrasonic to the indexes volumes of the staggered ovary and free liquid in the cavity of pelvis, to the parameters of preoperative preparation. The group of comparison differed from the investigated groups only the considerably less volume of free liquid in the cavity of pelvis, discovered at an echography and structure of testimonies to the performing of diagnostic laparoscopy. After confirmation of diagnosis anaemic form of ovarian apoplexy to all patients operative treatment was car-ried out. In majority 28 (80%) patients of group of comparison after confirmation of diagnosis pain form of ovarian apoplexy and in default of in the abdominal region of far of serofluid of no subsequent surgical manipulations did not execute. To 7 (20%) patients of this group with the volume of serosal exsudate more than 200 ml his evacuation and washing to the cavity of pelvis was physiological solution.Conclusions. The results of the conducted researches testify that the unique meaningful differ-ence between two investigated groups was an index of duration of operative interference (р<0,05). 1,5 time had operations almost more protracted in 2 groups of patients, hemostasis which carried out by imposition of suturing on an ovary. At the analysis of digital records of operative manual defined that reason of increase of his duration is the stage to hemostasis which foresaw at a 100% husking cysts and impositions of one or a few suturing on the wound of ovary. Duration of the stage grew, as a result of that laparoscopic imposition of suturing, especially with the intracorporal tying of knots, is labour intensive enough procedure. No meaningful differences between groups in the middle volume of blood loss, frequency of the combined operations, postoperative management, motion of postoperative period and duration of stay in permanent establishment discovered it was not. Keywords:functional ovarian cyst, ovarian apoplexy, clinic, diagnostics.
Authors: Ganna Kolesnyk, Iryna Tkachuk
Institution: Shupyk National Healthcare University of Ukraine
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4406498642