PREGNANCY AFTER CONSERVATIVE MYOMECTOMY OF UTERINE FIBROIDS OF GIANT SIZE (CLINICAL CASE)

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Section:
CASE HISTORY
Published:
2024-02-05
DOI:
https://doi.org/10.24412/2686-7338-2024-1-92-96

Main Article Content

Алена Викторовна Робул
Kuzbass Regional Clinical Hospital named after S.V. Belyaev, Kemerovo
Елена Владимировна Рудаева
Kemerovo State Medical University
Светлана Ивановна Елгина
Kemerovo State Medical University
Кира Борисовна Мозес
Kemerovo State Medical University
Яэль Центер
Soroka Medical Center, Beer Sheva

Abstract

Recently, there has been a trend towards a significant increase in uterine tumors, in particular fibroids, in women of reproductive age. Manifestations of uterine fibroids during pregnancy depend on the location and size of the fibroids. Prevention before pregnancy consists of timely treatment of uterine fibroids using organ-preserving medical technologies at the stage of preconception preparation. With the onset of pregnancy, in such patients, the content of sex steroid hormones in the local bloodstream of the uterus changes, the volume of nodes increases due to cellular hyperplasia and hypertrophy, cellular hyperplasia in myomatous nodes is blocked, and the death of myocytes in the central zone of the nodes is accelerated. Up to 75 % of pregnant women with uterine fibroids undergo surgical treatment, including conservative myomectomy. In this category of pregnant women, the frequency of spontaneous abortions and premature births is higher. There have been cases of spontaneous uterine rupture during pregnancy after embolization of the uterine arteries.

Keywords

uterine fibroids, myomectomy, video endoscopic technologies, pregnancy

Author Biographies

Алена Викторовна Робул,
obstetrician-gynecologist of the consultative polyclinic
Елена Владимировна Рудаева,
candidate of medical sciences, docent, docent of the department of obstetrics and gynecology named after G.A. Ushakova
Светлана Ивановна Елгина,
doctor of medical sciences, docent, professor of the department of obstetrics and gynecology named after G.A. Ushakova
Кира Борисовна Мозес,
assistant, department of polyclinic therapy and nursing
Яэль Центер,
pathologist

Article Details

Information about financing and conflict of interests

The study had no sponsorship.
The authors declare that they have no apparent or potential conflicts of interest related to the publication of this article.
© Алена Викторовна Робул, Елена Владимировна Рудаева, Светлана Ивановна Елгина, Кира Борисовна Мозес, Яэль Центер, 2024


Creative Commons License  This work is licensed under a Creative Commons Attribution 4.0 License.

How to Cite

Робул, А. В., Рудаева, Е. В., Елгина, С. И., Мозес, К. Б., & Центер, Я. (2024). PREGNANCY AFTER CONSERVATIVE MYOMECTOMY OF UTERINE FIBROIDS OF GIANT SIZE (CLINICAL CASE). Mother and Baby in Kuzbass, 25(1), 92-96. https://doi.org/10.24412/2686-7338-2024-1-92-96

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