Clinical aspects of different forms of apoplexy and functional ovarian cysts

Abstract

DOI: 10.52705/2788-6190-2024-03.1-15
УДК 618.11-007.251-005.1

The objective: to learn clinical aspects for women with the anaemic form of apoplexy and functional
ovarian cysts.
Materials and methods. It was conducted clinical-and-laboratory inspection 140 women from
which - 65 patients with the anaemic form of ovarian apoplexy, that first added to the laparoscopic operations. These patients were plugged in prospective research and part on two groups depending
on the method to hemostasis used during an operation. A to 1 group entered 35 patients,
hemostasis which carried out by bipolar coagulation, in 2 groups – 30 patients, bleeding from an
ovary in which was shut-down by imposition of suturing. In that or other group patients were taken
away by a «blind» method. The group of comparison was made 35 patients from laparoscopic
by the confirmed pain form of ovarian apoplexy and functional ovarian cysts of ovaries which got
conservative treatment.
Results. Working out the total of analysis of results of preoperative inspection, maybe, that
more than half of the patients ere on a daily basis, whether they were provocative officials
of ovarian apoplexy. The investigated groups did not differ on character of clinical displays
of anaemic form of ovarian apoplexy, to frequency of anaemia, ultrasonic to the indexes
volumes of the staggered ovary and free liquid in the cavity of pelvis, to the parameters of
preoperative preparation. The group of comparison differed from the investigated groups only
the considerably less volume of free liquid in the cavity of pelvis, discovered at an echography
and structure of testimonies to the performing of diagnostic laparoscopy. After confirmation
of diagnosis anaemic form of ovarian apoplexy to all patients operative treatment was carried
out. In majority 28 (80%) patients of group of comparison after confirmation of diagnosis
pain form of ovarian apoplexy and in default of in the abdominal region of far of serofluid of
no subsequent surgical manipulations did not execute. To 7 (20%) patients of this group with
the volume of serosal exsudate more than 200 ml his evacuation and washing to the cavity of
pelvis was physiological solution.
Conclusions. The results of the conducted researches testify that the unique meaningful difference
between two investigated groups was an index of duration of operative interference (р<0,05).
1,5 time had operations almost more protracted in 2 groups of patients, hemostasis which carried
out by imposition of suturing on an ovary. At the analysis of digital records of operative manual
defined that reason of increase of his duration is the stage to hemostasis which foresaw at a 100%
husking cysts and impositions of one or a few suturing on the wound of ovary. Duration of the
stage grew, as a result of that laparoscopic imposition of suturing, especially with the intracorporal
tying of knots, is labour intensive enough procedure.
No meaningful differences between groups in the middle volume of blood loss, frequency of the
combined operations, postoperative management, motion of postoperative period and duration of
stay in permanent establishment discovered it was not