• The differentiated approach to surgical treatment of myoma of uterus of the big sizes

The differentiated approach to surgical treatment of myoma of uterus of the big sizes

HEALTH OF WOMAN.2016.7(113):57–61 
 

The differentiated approach to surgical treatment of myoma of uterus of the big sizes


Boyko V. I., Terekhov V. A.

Medical Institute of Sumy state University of Ministry of education of Ukraine


The objective: increase of efficiency of surgical treatment of myoma of uterus of the big sizes on the basis of studying clinical-ehografical and morphological features, and also working out and introduction of the differentiated approach to choice of technique of operative intervention with use modern endoscopical technologies.


Patients and methods. Аre analysed results of complex inspection and surgical treatment of 200 uterus of big sizes sick by myoma (the sizes of a tumour more than 12 weeks of pregnancy and weight of macropreparation – more 300 gramme) at which was planned hysterectomy. 50 patients has been executed total laparoscopica hysterectomy (group І), 50 – total laparotomical hysterectomy (group ІІ), 50 – subtotal laparotomical hysterectomy (group ІІІ) and 50 – total vaginal hysterectomy (group IV).


Conclusion. Results of the spent researches testify that use of the differentiated approach to surgical treatment of myoma of uterus of the big sizes is proved and allows to seize early and the remote results for women in aspect of clinical current of the early postoperative period and quality of life in the remote period.


Key words: uterus myoma, the big sizes, surgical treatment.


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