Prevention of peritoneal adhesions as a stage of early rehabilitation of reproductive function after myomectomy
Objective. To evaluate the effectiveness of the early stage of reproductive function rehabilitation in patients after myomectomy.Tkachenko L.V., Sviridova N.I., Verovskaya T.A., Khokhlova R.R.
Subjects and methods. Comprehensive clinical and laboratory examinations were performed in 84 patients aged 18 to 45 years with uterine fibroids admitted for elective surgery. The anti-adhesive absorbable gel Antiadhesin (5 g) was applied to the site of a postoperative scar at the final stage of surgery.
Results. Pregnancy was found to occur in 60 (71.4%) of the 84 patients: spontaneously in 48 (57.1%) females, after an IVF and embryo transfer program in 14.3% of cases with a successful outcome in 39 (46.4%).
Conclusion. The findings make it possible to consider the early stage of rehabilitation of female reproductive function scientifically well-grounded after myomectomy, by using an innovative agent to prevent adhesion formation (the absorbable gel Antiadhesin).
Keywords
peritoneal adhesions
prevention
myomectomy
References
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Received 30.11.2018
Accepted 07.12.2018
About the Authors
Tkachenko, Lyudmila V., MD, professor, head of the Department of Obstetrics and Gynecology, Faculty of Advanced Medical Studies, Volgograd State Medical University, Ministry of Health of Russia. 400131, Russia, Volgograd, pl. Fallen fighters str. 1. Tel: +79050631072. E-mail: tkachenko.fuv@mail.ruSviridova, Natalia I., PhD, associate professor of the Department of Obstetrics and Gynecology, Faculty of Advanced Training of Doctors, Volgograd State Medical University, Ministry of Health of Russia. 400131, Russia, Volgograd, pl. Fallen fighters, str. 1. Tel: +79064090343. E-mail: n.i.sviridova@yandex.ru
Verovskaya, Tatyana A., chief medical officer of the Volgograd Regional Clinical Perinatal Center 2, chief obstetrician-gynecologist of the Healthcare Committee of the Volgograd Region. 400008, Russia, Volgograd, Marshal Vasilevsky str. 70. Tel: +79023144483. E-mail: vokpc2@vomiac.ru
Khokhlova, Regina R., graduate student of the Department of Obstetrics and Gynecology at the Faculty of Advanced Training of Doctors of Volgograd State Medical University, Ministry of Health of Russia. 400131, Russia, Volgograd, pl. Fallen fighters str. 1. Doctor obstetrician-gynecologist GBUZ Volgograd Regional Clinical Perinatal Center №2. 400008, Russia, Volgograd, Marshal Vasilevsky str. 70. Tel: +79033714323. E-mail: regina621@yandex.ru
For citations: Tkachenko L.V., Sviridova N.I., Verovskaya T.A., Khokhlova R.R. Prevention of peritoneal adhesions as a stage of early rehabilitation of reproductive function after myomectomy. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (1): 118-24. (in Russian)
http://dx.doi.org/10.18565/aig.2019.1.118-124