The case of successful conservative large-size myomectomy during pregnancy
A.M. ZIGANSHIN, V.A. KULAVSKIY, R.R. LATYPOVA
Bashkir State Medical University of the Ministry of Health of the Russian Federation, 3 Lenina Str., Ufa, 450000
Ziganshin A.M. ― Cand. Med. Sc., Assistant of the Department of Obstetrics and Gynecology of Institute of additional vocational education, tel. +7-903-310-16-06, e-mail: zigaidar@yandex.ru
Kulavsky V.A. ― D. Med. Sc., Professor, Head of the Department of Obstetrics and Gynecology of Institute of additional vocational education, tel. +7-927-239-00-03, e-mail: v.a.kulavsky@mail.ru
Latypova R.R. ― intern of the Department of Obstetrics and Gynecology of Institute of additional vocational education, tel. +7-937-345-51-59, e-mail: regina-latypova-1992@mail.ru
The article describes a clinical case of conservative myomectomy with a huge uterus myoma during pregnancy. Carrying out a complex of medical diagnostic measures, including a clinical study, ultrasound and MRI, eliminated abdominal pathology and the threat of abortion, diagnose the destruction of the myomatous node. As a result of conservative myomectomy, the myomatous node was removed. Thus, it was possible to prevent the development of obstetric and perinatal complications in the mother and fetus and to keep the pregnancy.
Key words: uterine fibroid, conservative myomectomy, myomatous nodule.
REFERENCES
- Kulavskiy V.A., Pushkarev V.A., Kulavskiy E.V. Opukholi matki [Tumors of the uterus]. Ufa: Informreklama, 2004. 384 p.
- Aylamazyan E.K., Ayvazyan T.A., Baryshev B.A. et al. Rukovodstvo po ginekologii [Guide to gynecology]. Moscow: MEDpress-inform, 2012. 512 p.
- Ziganshin A.M., Nasyrova S.F., Kulavskiy E.V. Surgical aspects of treatment of uterine fibroids. Sovremennye problemy nauki i obrazovaniya, 2015, no. 6, p. 234 (in Russ.).
- Buyanova S.N., Logutova L.S., Shchukina N.A. et al. Prognoz rosta miomatoznykh uzlov vo vremya beremennosti (kliniko-morfologicheskie i ul’trazvukovye kriterii): Informatsionno-metodicheskoe pis’mo [Prognosis of the growth of myomatous nodes during pregnancy (clinical-morphological and ultrasound criteria): Informational-methodical letter]. Moscow: MAKS-Press, 2012. 25 p.
- Nappi L., Matteo M., Giardina S. et al. Management of uterine giant myoma. Arch. Gynecol. Obs, 2008, vol. 278(1), pp. 61–63.
- Buyanova S.N., Logutova L.S., Shchukina N.A. et al. Miomektomiya vne i vo vremya beremennosti: pokazaniya, osobennosti khirurgicheskoy taktiki i anestezii, predoperatsionnaya podgotovka i reabilitatsiya: posobie dlya vrachey [Myomectomy outside and during pregnancy: indications, features of surgical tactics and anesthesia, preoperative preparation and rehabilitation: A Manual for Physicians]. Moscow: MAKS-Press, 2012. 18 p.
- Kustarov V.N., Tatarov A.S. The course of pregnancy, childbirth and after the birth period in patients with simple and proliferating uterine myoma. Kazanskiy meditsinskiy zhurnal, 2010, vol. 91, no. 3, p. 397 (in Russ.).


