Kaptilnyy Vitaly Alexandrovich (associate professor of the department of obstetrics and gynecology No. 1, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
Lystsev Dmitry Valerievich (post-graduate student of the department of obstetrics and gynecology No. 1, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
Svidinskaya Evgeniia Alexandrovna (assistant of the department of obstetrics and gynecology No. 1, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
Budnikova Krestina Araratovna (assistant of the department of obstetrics and gynecology No. 1, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
Proklova Guzel Faritovna (assistant of the department of obstetrics and gynecology No. 1, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
Manucheva Taisiya Germanovna (Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
Kokhreidze Zinaida Murmanovna (Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University))
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Uterine fibroid is the most common form of benign uterine tumors. Typical clinical manifestations of uterine fibroids include: abnormal uterine bleeding, symptoms of compression of adjacent organs in the pelvic region, pelvic pain, infertility, recurrent pregnancy loss and other obstetric complications.
Almost a third of women with fibroids seek treatment due to severe clinical symptoms.
Current management strategies for patients with uterine fibroids mainly include surgical interventions, but the choice of treatment depends on a number of factors: the patient's age and desire to preserve fertility or avoid radical surgery such as hysterectomy. Treatment of uterine fibroids also depends on the number, size and location of myomatous nodes.
Other non-radical surgical approaches include hysteroscopic myomectomy, laparotomy or laparoscopic myomectomy; uterine artery embolization or specific techniques performed under radiological or ultrasound control to induce thermal ablation within the tissue of myomatous nodes.
There are relatively few randomized trials comparing different surgical treatments for uterine fibroids. There is also great variability in the choice of surgical treatment depending on the clinical situation.
In this review, we describe the possibilities, advantages and disadvantages of various types of surgical treatment of uterine fibroids, based on the latest evidence-based medicine regarding their effectiveness and safety.
Keywords:uterine fibroids, treatment, myomectomy, MR-HIFU, uterine artery embolization.
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Citation link:
Kaptilnyy V. A., Lystsev D. V., Svidinskaya E. A., Budnikova K. A., Proklova G. F., Manucheva T. G., Kokhreidze Z. M. COMPARISON OF THE EFFECTIVENESS OF SURGICAL TREATMENT OF UTERINE FIBROIDS (LITERATURE REVIEW) // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№11/2. -С. 172-177 DOI 10.37882/2223-2966.2024.11-2.15 |
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