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Breusenko V.G.

N.I. Pirogov Russian National Research Medical University

Esipova I.A.

N.I. Pirogov Russian National Research Medical University

Kappusheva L.M.

N.I. Pirogov Russian National Research Medical University

Golukhov G.N.

N.I. Pirogov Russian National Research Medical University

Golova Yu.A.

N.I. Pirogov Russian National Research Medical University

Baisova B.I.

N.I. Pirogov Russian National Research Medical University

Stepanov K.I.

N.I. Pirogov Russian National Research Medical University

Lyafisheva D.M.

N.I. Pirogov Russian National Research Medical University

Ovchinnikova A.V.

N.I. Pirogov Russian National Research Medical University

Gutorova D.S.

N.I. Pirogov Russian National Research Medical University

Anatomic and functional status of the uterus after transcervical myomectomy

Authors:

Breusenko V.G., Esipova I.A., Kappusheva L.M., Golukhov G.N., Golova Yu.A., Baisova B.I., Stepanov K.I., Lyafisheva D.M., Ovchinnikova A.V., Gutorova D.S.

More about the authors

Journal: Russian Bulletin of Obstetrician-Gynecologist. 2024;24(4): 48‑55

DOI: 10.17116/rosakush20242404148

Read: 943 times

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Table of contents

ANATOMIC AND FUNCTIONAL STATUS OF THE UTERUS AFTER TRANSCERVICAL MYOMECTOMY
ANATOMIC AND FUNCTIONAL STATUS OF THE UTERUS AFTER TRANSCERVICAL MYOMECTOMY

To cite this article:

Breusenko VG, Esipova IA, Kappusheva LM, et al. . Anatomic and functional status of the uterus after transcervical myomectomy. Russian Bulletin of Obstetrician-Gynecologist. 2024;24(4):48‑55. (In Russ.)
https://doi.org/10.17116/rosakush20242404148

 
Подписка 2026 Российский вестник акушера-гинеколога (Russian Bulletin of Obstetrician-Gynecologist)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To improve the efficiency of transcervical myomectomy of submucosal myomatous nodules of different types on the basis of studying the character, terms of regenerative processes in the uterine wall and rehabilitation measures.

MATERIAL AND METHODS

177 patients of reproductive age who underwent transcervical myomectomy were examined. The distribution of patients into groups was carried out depending on the type of the leading node: the 1st group consisted of 21 patients with type 0 nodes, the 2nd group included 93 patients with type I nodes, the 3rd group consisted of 63 patients with type II nodes.

RESULTS

Pregnancy can be considered in 12 months after myomectomy of type 0 fibroid, in 3 months after myomectomy of type I fibroid. Uterus recovery after myomectomy of type II fibroid should be evaluated by assessing myometrium using ultrasound. Hormonal therapy with estrogen-gestagen medication is considered obligatory if the diameter of removed type II fibroid exceeds 2.02.5cm and following two-stage myomectomy.

CONCLUSION

Transcervical myomectomy is a safe technique for surgical treatment of submucous fibroids. Correct performance of the procedure (electrosurgical resection combined with «cold loop» technique and administration of uterotonics), estrogen-gestagen medication and post-surgical follow-up result in adequate uterus recovery.

Keywords:

submucous fibroids
hysteroresectoscopy
electrosurgical resection
regenerative processes

Authors:

Breusenko V.G.

N.I. Pirogov Russian National Research Medical University

Esipova I.A.

N.I. Pirogov Russian National Research Medical University

Kappusheva L.M.

N.I. Pirogov Russian National Research Medical University

Golukhov G.N.

N.I. Pirogov Russian National Research Medical University

Golova Yu.A.

N.I. Pirogov Russian National Research Medical University

Baisova B.I.

N.I. Pirogov Russian National Research Medical University

Stepanov K.I.

N.I. Pirogov Russian National Research Medical University

Lyafisheva D.M.

N.I. Pirogov Russian National Research Medical University

Ovchinnikova A.V.

N.I. Pirogov Russian National Research Medical University

Gutorova D.S.

N.I. Pirogov Russian National Research Medical University

Received:

03.07.2023

Accepted:

24.11.2023

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References:

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