Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition
Aim. To study the short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis who are in the perimenopausal age.Materials and Methods. The study included 18 patients with severe diffuse adenomyosis who underwent fertility-sparing excision of diffuse adenomyosis...
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| Format: | Article |
| Language: | Russian |
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Kemerovo State Medical University
2023-04-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/680 |
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| author | V. B. Tskhay G. T. Mikailly I. I. Tskhay |
| author_facet | V. B. Tskhay G. T. Mikailly I. I. Tskhay |
| author_sort | V. B. Tskhay |
| collection | DOAJ |
| description | Aim. To study the short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis who are in the perimenopausal age.Materials and Methods. The study included 18 patients with severe diffuse adenomyosis who underwent fertility-sparing excision of diffuse adenomyosis by means of Osada procedure. Efficiency of surgical treatment and subsequent drug therapy was evaluated at 12 and 24 months of follow-up by pelvic ultrasound examination. The frequency of adenomyosis symptoms and quality of life were assessed using the standard SF-36 questionnaire.Results. Recovery of the menstrual cycle, freedom from pain and anemia, and improved quality of life were documented in all cases (18/18), whereas onset of menopause occurred in half of the cases (9/18). In particular, all scales of the Physical Component Summary from SF-36 questionnaire were significantly improved at both follow-up time points.Conclusion. Organ-sparing excision of diffuse adenomyosis using Osada procedure is the option of choice and might represent an alternative to hysterectomy in women with perimenopausal age, in addition to those of earlier reproductive age. |
| format | Article |
| id | doaj-art-760117ad2b2a4f518457b51b44390ab6 |
| institution | Matheson Library |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-760117ad2b2a4f518457b51b44390ab62025-08-03T12:59:25ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412023-04-01819310010.23946/2500-0764-2023-8-1-93-100357Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transitionV. B. Tskhay0G. T. Mikailly1I. I. Tskhay2Voino-Yasenetsky Krasnoyarsk State Medical University; Federal Siberian Research Clinical Centre, Federal Medical-Biological AgencyVoino-Yasenetsky Krasnoyarsk State Medical University; Regional Clinical Center for Maternal and Child HealthFederal Siberian UniversityAim. To study the short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis who are in the perimenopausal age.Materials and Methods. The study included 18 patients with severe diffuse adenomyosis who underwent fertility-sparing excision of diffuse adenomyosis by means of Osada procedure. Efficiency of surgical treatment and subsequent drug therapy was evaluated at 12 and 24 months of follow-up by pelvic ultrasound examination. The frequency of adenomyosis symptoms and quality of life were assessed using the standard SF-36 questionnaire.Results. Recovery of the menstrual cycle, freedom from pain and anemia, and improved quality of life were documented in all cases (18/18), whereas onset of menopause occurred in half of the cases (9/18). In particular, all scales of the Physical Component Summary from SF-36 questionnaire were significantly improved at both follow-up time points.Conclusion. Organ-sparing excision of diffuse adenomyosis using Osada procedure is the option of choice and might represent an alternative to hysterectomy in women with perimenopausal age, in addition to those of earlier reproductive age.https://fcm.kemsmu.ru/jour/article/view/680diffuse adenomyosissurgical treatmentadenomyomectomylate reproductive ageperimenopausal agequality of life |
| spellingShingle | V. B. Tskhay G. T. Mikailly I. I. Tskhay Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition Фундаментальная и клиническая медицина diffuse adenomyosis surgical treatment adenomyomectomy late reproductive age perimenopausal age quality of life |
| title | Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition |
| title_full | Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition |
| title_fullStr | Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition |
| title_full_unstemmed | Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition |
| title_short | Short- and long-term results of organ-sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition |
| title_sort | short and long term results of organ sparing surgery in patients with severe diffuse adenomyosis at perimenopausal transition |
| topic | diffuse adenomyosis surgical treatment adenomyomectomy late reproductive age perimenopausal age quality of life |
| url | https://fcm.kemsmu.ru/jour/article/view/680 |
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