Organ-preserving surgical treatment of giant uterine myoma in a pregnant woman
https://doi.org/10.24884/0042-4625-2020-179-2-59-62
Abstract
Uterine myoma is the most common benign disease in the women of the reproductive period. According to different authors, the rate of uterine myoma in pregnancy is estimated from 0.1 to 12.5 %. We present the case of successful laparotomy myomectomy at 14–15 weeks of gestational age.
About the Authors
I. E. KhatkovRussian Federation
Khatkov Igor E., Dr. of Sci. (Med.), Professor, Corresponding Member of the Russian Academy of Sciences, Director
Moscow
V. V. Tsvirkun
Russian Federation
Tsvirkun Victor V., Dr. of Sci. (Med.), Professor, Chief Research Fellow of the Department of High-Tech Surgery and Surgical Endoscopy
Moscow
Yu. N. Ponоmareva
Russian Federation
Ponomareva Yulia N., Dr. of Sci. (Med.), Professor, Chief Research Fellow, Head of the Department of Gynecology
Moscow
E. A. Loginova
Russian Federation
Loginova Ekaterina A., Cand. of Sci. (Med.), Research Fellow of the Department of Gynecology
86, shosse Entuziastov, Moscow, 11123
References
1. Kulakov V. I., Shmakov G. S. Myomectomy and pregnancy. Moscow, Medpress-inform, 2001:344. (In Russ.).
2. Sidorova I. S. Uterine fibroids. Moscow, MIA, 2003:256. (In Russ.).
3. Bulun Serdar E. Uterine fibroids. Nat. Engl. J. Med. 2013;3(369(14)):1344–1355. Doi: 10.1056/NEJMra1209993.
4. Zepiridis L. I., Grimbizis G. F., Tarlatzis B. C. Infertility and uterine fibroids. Best Pract. Res. Clin. Obstet. Gynaecol. 2015;6934(15):235–237. Doi: 10.1016/j.bpobgyn.2015.12.001.
5. Krasnopolsky V. I., Logutova L. S., Buyanova S. N. Reproductive problems of the operated uterus. Moscow, Miklosh, 2005:162. (In Russ.).
6. Kulagina N. V., Kustarov V. N. Results of conservative treatment of patients with uterine myoma. Russian family doctor. 2005;9(2):49–52. (In Russ.).
7. Lee H. J., Norwitz E. R., Shaw J. Contemporary management of fibroids in pregnancy. Rev Obstet. Gynecol. 2010;3:20.
8. Milazzo G. N., Catalano A., Badia V., Mallozzi M., Caserta D. Myoma and myomectomy: Poor evidence concern in pregnancy. J. Obstet Gyn. Res. 2017;43(12):1789–1804. Doi: 10.1111/jog.13437.
9. Deveer M., Deveer R., Engin-Ustun Y. Comparison of pregnancy out-comes in different localizations of uterine fibroids. Clin. Exp. Obstet. Gyn. 2012;39:516–518.
10. Vilos G. A., Allaire C., Laberge P. Y. The management of uterine leiomyomas. J. Obstet. Gynaecol. Can. 2015;37:157–181. Doi: 10.1016/S1701-2163(15)30338-8.
11. Buyanova S. N., Logutova L. S., Babunashvili E. L., Gorbunova T. N. Rep roductive prognosis for uterine fibroids. Russian Bulletin of the obstetrician-gynecologist. 2003;3(4):47–49. (In Russ.).
12. Buyanova S. N., Logutova L. S., Shchukina N. A., Mgeliashvili M. V., Yudina N. V., Gukasyan S. A., Akhvlediani K. N., Chechneva M. A., Ermolaeva E. E. Myomectomy in pregnancy and non-pregnancy: indications, the specific features of surgical policy and anesthesia, and preoperative preparation and rehabilitation. Russian Bulletin of obstetriciangynecologist. 2013;2:95–100. (In Russ.).
13. Krasnopolsky V. I., Buyanova S. N., Shchukina N. A., Mgeliashvili M. V., Babunashvili E. L., Titchenko I. P. Surgical correction of reproductive function in uterine fibroids. Russian Bulletin of obstetrician-gynecologist. 2005;5(2):74–76. (In Russ.).
14. De Carolis S., Fatigante G., Ferrazzani S. Uterine myomectomy in pregnant women. Fetal Diagn. Ther. 2001;16(2):116–119. Doi: 10.1159/000053893.
15. Swarray-Deen A., Mensah-Brown S. A., Coleman J. Rare complication of fibroids in pregnancy: Spontaneous fibroid rupture. J. Obstet. Gynaecol. Res. 2017;43(9):1485–1488. Doi: 10.1111/jog.13405.
16. Basso A., Catalano M. R., Loverro G., Nocera S., Di Naro E., Loverro M., Natrella M., Mastrolia S. A. Uterine Fibroid Torsion during Pregnancy: A Case of Laparotomic Myomectomy at 18 Weeks’ Gestation with Systematic Review of the Literature. Rep. Obstet. Gynecol. 2017:970– 982. Doi: 10.1155/2017/4970802.
Review
For citations:
Khatkov I.E., Tsvirkun V.V., Ponоmareva Yu.N., Loginova E.A. Organ-preserving surgical treatment of giant uterine myoma in a pregnant woman. Grekov's Bulletin of Surgery. 2020;179(2):59-62. (In Russ.) https://doi.org/10.24884/0042-4625-2020-179-2-59-62